Cottalorda Jérôme, Chotel Franck, Kohler Rémi, de Gauzy Jérôme Sales, Louahem Djamel, Lefort Gérard, Dimeglio Alain, Bourelle Sophie
Pediatric Surgery Department, North Hospital, Saint-Etienne, France.
J Pediatr Orthop. 2005 Jul-Aug;25(4):471-5. doi: 10.1097/01.bpo.0000158002.30800.8f.
The authors analyzed a series of 15 pelvic aneurysmal bone cysts (9 boys and 6 girls) in children and adolescents who were reviewed with an average follow-up of 50.3 months. Pain and limp were the main symptoms. Four patients had no treatment after the open biopsy. Eleven patients were treated with curettage. Preoperative selective arterial embolization was performed in three cases before curettage. Two recurrences were noted after curettage; recurrences were treated successfully with further curettage. As a result, the authors recommend curettage; more aggressive operative intervention does not appear to be indicated. No major intraoperative vascular complications occurred. Spontaneous healing in a few cases (even in active or aggressive lesions) argues for clinical and radiologic observation after biopsy when possible. In case of a propitious evolution, observation must be continued and surgery might be avoided, but if the lesion increases, treatment must be proposed.
作者分析了一系列15例儿童和青少年骨盆动脉瘤样骨囊肿（9例男孩和6例女孩），平均随访时间为50.3个月。疼痛和跛行是主要症状。4例患者在开放活检后未接受治疗。11例患者接受了刮除术治疗。3例在刮除术前进行了术前选择性动脉栓塞。刮除术后发现2例复发；通过进一步刮除成功治疗了复发。因此，作者推荐刮除术；似乎不需要更积极的手术干预。术中未发生重大血管并发症。少数病例（即使是活跃或侵袭性病变）的自发愈合表明，活检后尽可能进行临床和影像学观察。如果病情进展顺利，必须继续观察，可能避免手术，但如果病变增大，则必须进行治疗。
