Konera W, Okoński M, Gregosiewicz A
Kliniki Ortopedii Dzieciecej IP AM w Lublinie.
Chir Narzadow Ruchu Ortop Pol. 1990;55(3):237-40.
Among 24 children with solitary osseous cyst of various localization treated by local methyl prednisolone injections, 20 children had excellent and good results. The radiological criteria of evaluation were as follows: full rebuilding of the bone in the site of cyst--excellent result, irregular trabecular structure or widening of the bone remain--good result, small radiological translucency with simultaneous full rebuilding of width of the cortical bone, securing proper mechanical resistance--fair result, absence of radiological traits of rebuilding--poor result. In each patient, 4-6 instillations were performed every 3 months. Subsidence of local compression and auscultative pain, deliberation of balloon inflation of the metaphysis, normalization of width of the cortical bone, rebuilding of the spongy bone and "going away" of the epiphyseal cartilage from the cyst have been observed.
在24例接受局部甲基强的松龙注射治疗的不同部位孤立性骨囊肿患儿中，20例患儿效果优良。评估的放射学标准如下：囊肿部位骨完全重建——效果优良；骨小梁结构不规则或骨增宽——效果良好；有小的放射透亮区且同时皮质骨宽度完全重建，保证适当的机械抗力——效果尚可；无重建的放射学特征——效果差。对每位患者每3个月进行4 - 6次滴注。观察到局部压痛和听诊疼痛减轻、干骺端气囊扩张减轻、皮质骨宽度恢复正常、松质骨重建以及骨骺软骨从囊肿处“消失”。
