Farber J M, Stanton R P
Department of Medical Education, Alfred I. duPont Institute, Wilmington, DE 19899.
Orthopedics. 1990 Jan;13(1):25-32. doi: 10.3928/0147-7447-19900101-06.
Curettage and bone grafting has been the traditional treatment for unicameral bone cysts. Aspiration followed by injection of methylprednisolone acetate has been successfully used by Scaglietti et al. We reviewed 59 patients treated for unicameral bone cysts. The patients were subsequently evaluated for healing with regard to age, activity of cyst, and bone graft origin. The healing rate for curettage and bone graft was 53%. For patients with methylprednisolone acetate injection after aspiration, the healing rate was 70%. This difference was not statistically significant. The methylprednisolone acetate injection method has comparable efficacy to that of the more traditional curettage and bone graft method, and it is safe and cost-effective.
刮除术和骨移植一直是单纯性骨囊肿的传统治疗方法。斯卡列蒂等人成功地采用了抽吸后注射醋酸甲泼尼龙的方法。我们回顾了59例接受单纯性骨囊肿治疗的患者。随后根据年龄、囊肿活性和骨移植来源对患者的愈合情况进行了评估。刮除术和骨移植的愈合率为53%。对于抽吸后注射醋酸甲泼尼龙的患者，愈合率为70%。这种差异无统计学意义。醋酸甲泼尼龙注射法与更传统的刮除术和骨移植法疗效相当，且安全、经济有效。
