Di Giorgio L, Lanzone R, Sodano L, Di Paola B, Touloupakis G, Mastantuono M
Dipartimenti di 1Emergenza e Accettazione, Ortopedia e Traumatologia B. Policlinico Umberto I, Università "Sapienza", Roma, Italia.
Dipartimenti di Scienze Radiologiche, Oncologiche e Anatomo-Patologiche. Policlinico Umberto I, Università "Sapienza", Roma, Italia.
Clin Ter. 2015;166(1):e27-33. doi: 10.7417/CT.2015.1806.
The osteochondromas represents is the most frequent benign lesion interesting the bone tissue. This lesion, often asymptomatic, can arise through mechanical, irritative or painful syndromes: "strategic exostosis".
In our present study we retrospectively evaluated 65 Caucasian patients, which have been treated surgically for symptomatic solitary exostosis from March 2004 to Jan 2011. The most frequent symptom referred by patient has been represented by pain. The others complains were related to nervous compression, esthetic injury and a reduction of range of motion. By using the VAS score we evaluated the post-operative bone pain at 3, 12 and 24 months. At the end of follow up we evaluated by a validated questionnaire the grade of patient satisfaction.
No major surgical complication were found. The rate of disease recidivism was null. Only a small group of patient referred a persisting pain in the lesion area during the two years follow up. In this subgroup the rate of satisfaction was obviously reduced.
In our opinion the surgical treatment of strategic exostosis, is safe and it should be recommended, since it allows to eliminate the noise with a low incidence of complications. The large majority of out patients were satisfied of the clinical improvement they experienced.
骨软骨瘤是最常见的累及骨组织的良性病变。这种病变通常无症状，但可引发机械性、刺激性或疼痛性综合征：“战略性外生骨疣”。
在我们目前的研究中，我们回顾性评估了65例白种人患者，这些患者在2004年3月至2011年1月期间因有症状的孤立性外生骨疣接受了手术治疗。患者提及的最常见症状为疼痛。其他主诉与神经受压、美观受损及活动范围减小有关。我们使用视觉模拟评分法（VAS）评估了术后3个月、12个月和24个月时的骨痛情况。在随访结束时，我们通过一份经过验证的问卷评估了患者的满意度。
未发现重大手术并发症。疾病复发率为零。在两年的随访期间，只有一小部分患者提及病变区域持续疼痛。在这个亚组中，满意度明显降低。
我们认为，战略性外生骨疣的手术治疗是安全的，应该推荐，因为它能够以低并发症发生率消除病变。绝大多数门诊患者对他们所经历的临床改善感到满意。
