Kohler R, Mazoyer J F, Besse J L, Bascoulergue Y
Service d'Orthopédie Pédiatrique, Clinique Mutualist, Lyon.
Rev Chir Orthop Reparatrice Appar Mot. 1990;76(4):284-7.
Osteoid osteoma is a benign tumor requiring a surgical resection. An original technique is reported: the nidus was first located by computed tomography and then reached and resected through a small percutaneous approach. A special device, similar to those of knee arthroscopy or percutaneous discotomy has been designed. Five patients have been thus treated successfully (1 femoral neck, 1 trochanter, 1 femur, 2 tibias). Recent progress in radiology for management of bone tumors (scintigraphy, angiography) have given greater accuracy in the preoperative diagnosis of osteoid osteoma. It is thus possible to dispense with an histological proof in case of destruction of the nidus. However a new device is now designed to achieve true "en bloc" resection of the nidus.
骨样骨瘤是一种需要手术切除的良性肿瘤。本文报道了一种原创技术：首先通过计算机断层扫描定位瘤巢，然后通过小切口经皮到达并切除瘤巢。设计了一种类似于膝关节镜或经皮椎间盘切除术的特殊装置。5例患者（1例股骨颈、1例转子、1例股骨、2例胫骨）经此方法成功治疗。骨肿瘤管理方面放射学的最新进展（闪烁扫描、血管造影）提高了骨样骨瘤术前诊断的准确性。因此，在瘤巢破坏的情况下可以无需组织学证据。然而，现在设计了一种新装置以实现瘤巢真正的“整块”切除。
