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单纯性骨囊肿。59例病例回顾并特别提及治疗方法。

Simple bone cysts. A review of 59 cases with special reference to their treatment.

作者信息

Mylle J, Burssens A, Fabry G

机构信息

Department of Orthopaedic Surgery, University Hospital, Catholic University of Leuven, Belgium.

出版信息

Arch Orthop Trauma Surg. 1992;111(6):297-300. doi: 10.1007/BF00420053.

DOI:10.1007/BF00420053
PMID:1449934
Abstract

In a retrospective study, 21 simple bone cysts (SBC) treated by curettage (with or without bone grafting) are compared to 20 SBC treated by intralesional injections of methylprednisolone. Curettage led to 43% favourable results and 29% recurrences. Cortisone injections led to 90% favourable results and 5% recurrences. Combined therapy (curettage and injections) led to results comparable to injections only. In our experience, curettage and hydroxyapatite grafting led to 100% complete healing (only 2 cases). We recommend intralesional methylprednisolone injections because the method is easy, effective and safe.

摘要

在一项回顾性研究中,将21例采用刮除术(伴或不伴植骨)治疗的单纯骨囊肿(SBC)与20例采用病灶内注射甲基强的松龙治疗的SBC进行了比较。刮除术导致43%的良好结果和29%的复发率。皮质醇注射导致90%的良好结果和5%的复发率。联合治疗(刮除术和注射)导致的结果与仅注射相当。根据我们的经验,刮除术和羟基磷灰石植骨导致100%完全愈合(仅2例)。我们推荐病灶内注射甲基强的松龙,因为该方法简便、有效且安全。

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引用本文的文献

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Percutaneous Curettage and Local Autologous Cancellous Bone Graft: A Simple and Efficient Method of Treatment for Benign Bone Cysts.经皮刮除术与局部自体松质骨移植:一种治疗良性骨囊肿的简单有效方法。
Arch Bone Jt Surg. 2022 Jan;10(1):104-111. doi: 10.22038/ABJS.2021.55189.2747.
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Treatment of simple bone cysts using endoscopic curettage: a case series analysis.内镜下刮除术治疗单纯性骨囊肿:病例系列分析。
J Orthop Surg Res. 2018 Jul 5;13(1):168. doi: 10.1186/s13018-018-0869-z.
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Pronounced femur malunion after pathological bone fracture due to a simple bone cyst in the shaft of the femur, treated using Ilizarov fixation: a case report.

本文引用的文献

1
Contrast examination as a prognostic factor in the treatment of solitary bone cyst by cortisone injection.对比检查作为皮质醇注射治疗孤立性骨囊肿的预后因素。
Skeletal Radiol. 1984;12(2):97-102. doi: 10.1007/BF00360813.
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Predictive characteristic of simple bone cyst treated with curettage and bone grafting.刮除植骨术治疗单纯性骨囊肿的预测特征。
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Unicameral and aneurysmal bone cysts.单房性骨囊肿和动脉瘤样骨囊肿。
Clin Orthop Relat Res. 1986 Mar(204):25-36.
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A case of multiple simple bone cysts. With special reference to their etiology and treatment.
Arch Orthop Trauma Surg (1978). 1987;106(6):390-3. doi: 10.1007/BF00456876.
6
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J Pediatr Orthop. 1987 Nov-Dec;7(6):712-5.
7
Microdensity of solitary bone cyst after steroid injection.类固醇注射后孤立性骨囊肿的显微密度
J Pediatr Orthop. 1988 Sep-Oct;8(5):566-8. doi: 10.1097/01241398-198809000-00014.
8
The use of calcium hydroxyapatite ceramic in bone tumour surgery.羟基磷灰石陶瓷在骨肿瘤手术中的应用。
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The effects of methylprednisolone acetate in the treatment of bone cysts. Results of three years follow-up.
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