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目的：探讨病灶清除植骨联合动力髋螺钉（DHS）内固定术治疗股骨近端囊肿的临床疗效及意义。方法：自2006 年3 月至 2012 年6月共有17 例股骨近端囊肿患者在我院接受治疗并有完整随访，全部患者均应用病灶清除植骨联合DHS 内固定术手术治疗。结果：平均随访时间18 个月（14-60 个月），病灶植骨处平均愈合时间7 个月（6-8 个月）。平均手术时间182 分钟（90 分钟 ~282 分钟），术中平均出血量340 mL（100～700 mL）。切口全部一期愈合，术后病灶处均达到骨性愈合，骨密度均匀，17 例均未出现骨囊肿复发及内固定断裂，未发生股骨头坏死及股骨近端骨折，按Harris 髋关节功能评分标准，优良率为100％。结论：病灶清除植骨术联合DHS 内固定治疗股骨近端囊肿操作简单，术中出血少，并发症少，疗效确切，是治疗股骨近端骨囊肿，降低其复发率和预防病理性骨折的一种有效方法。

英文摘要:

Objective:To study the clinical effect and significance of curetting and implanting bone combined with Dynamic hip screw (DHS) fixation on the treatment of the cyst near femoral head.Methods:17 patients with proximal femur cyst who were treated in our hospital from March 2006 to June 2012 were selected and followed-up.Results:All the patients were followed up for 18 months (range,14-60 months). The average healing time of bone lesions was 7 months (6~8 months). The average time for operation was 182 minutes(90-282 minutes), the average blood loss was 340 mL(100 ~700 mL); Lesions of have 17 patients got well after operation without any recurrency, or femoral head avascular necrosis. 100% fineness was reached according the Harris Hip Joint Function Scale.Conclusion:Curetting and implanting bone combined with DHS fixation of proximal femur cyst is a new effective method, with simply procedure, less complications and lower recurrent rate.

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