摘要
目的 报告钙化性腱膜纤维瘤(calcifying aponeurotic fibroma,CAF)的临床特点及诊治措施,并回顾文献探讨CAF的手术决策。方法 选用CAF相关的检索词检索外文及中文数据库,对检索文献进行系统分析,指标包括流行病学特征、诊断要点、手术方式、术后复发及恶变情况。结果 本例患者采取手术切除、跟腱加强修复、石膏固定足部等治疗,术后随访6个月,恢复良好、无异常、未复发。检索结果发现107篇文献报道,CAF病例153例。结论 手术切除是治疗CAF的有效手段,且需完整切除并注意长期随访。
Objective To report the clinical characteristics,diagnosis and treatment of calcifying aponeurotic fibroma (CAF).Literature was reviewed to explore its surgery plan.Methods Terms related to CAF of the distal tibia were searched in the databases home and abroad.Epidemiological characteristics,diagnosis criteria,surgical methods,recurrence and malignant transformation after operation were observed.Results The patient was treated with surgical resection,Achilles tendon repair and fixation in plaster.Good recovery was seen during the follow-up of 6 months.No recurrence occurred.A total of 107 papers were analyzed,including 153 cases of CAF.Conclusions Complete resection is recommended in CAF treatment,however,long-term follow-up is needed.
作者
曾德妙
刘炜
吴锦
楚明
甘泉
杨丽华
蒋俊
ZENG De-miao;LIU Wei;WU Jin;CHU Ming;GAN Quan;YANG Li-hua;JIANG Jun(Department of Orthopaedics,The First People’s Hospital of Honghe State,Honghe,Yunnan,661199,China)
出处
《中国骨与关节杂志》
CAS
2022年第3期213-220,共8页
Chinese Journal of Bone and Joint
关键词
纤维瘤
跟腱
腱膜
生物矿化
手术切除
诊断要点
鉴别诊断
Fibroma
Achilles tendon
Aponeurosis
Biomineralization
Surgical resection
Diagnostic points
Differential diagnosis
