Kocak T, Huch K, Ulmar B, Aschoff A, Reichel H
Orthopädische Universitätsklinik Ulm am RKU.
Z Orthop Unfall. 2008 Mar-Apr;146(2):256-60. doi: 10.1055/s-2007-989392.
The aim of this study was to evaluate embolisation as a therapy option for aneurysmal bone cysts of the trunk.
Case reports about two males with intermittent pseudo-radicular lumboischialgia and coxalgia are discussed.
The diagnostic work-up and biopsies verified an aneurysmal bone cyst in both males. In one patient the tumour-like lesion was localised in the fifth lumbar vertebral body, in the other in the left ischium and pubis. Arterial embolisation was performed in both cases. Follow-up at 6 and 24 months after embolisation showed a significant increase of sclerosis and a reduced volume of the cysts.
In accord with literature data, arterial embolisation seems to be a sufficient and minimally invasive therapy option in aneurysmal bone cysts of the spine and the pubis.
本研究旨在评估栓塞作为躯干动脉瘤样骨囊肿的一种治疗选择。
讨论了两例患有间歇性假性神经根性腰腿痛和髋关节痛的男性病例报告。
诊断检查和活检证实两名男性均患有动脉瘤样骨囊肿。一名患者的肿瘤样病变位于第五腰椎椎体，另一名位于左侧坐骨和耻骨。两例均进行了动脉栓塞。栓塞后6个月和24个月的随访显示硬化明显增加，囊肿体积减小。
与文献数据一致，动脉栓塞似乎是脊柱和耻骨动脉瘤样骨囊肿的一种充分且微创的治疗选择。
