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治疗年轻犬的骨囊肿性动脉瘤:病例报告。

Treatment of an aneurysmal bone cyst in a young dog: A case report.

机构信息

Department of Veterinary Sciences, University of Turin, Grugliasco, 10095, Italy.

Department of Veterinary Medical Sciences, University of Bologna, Bologna, Italy.

出版信息

Vet Med Sci. 2022 Mar;8(2):425-430. doi: 10.1002/vms3.677. Epub 2022 Feb 9.

Abstract

BACKGROUND

An aneurysmal bone cyst (ABC) is a rare benign lytic lesion affecting the medullary canal of long bones. It has been widely reported in human medicine, but rarely described in domestic animals.

OBJECTIVE

To report the surgical treatment and long term follow-up of a dog affected by ABC.

METHODS

An 8-month-old, intact female Weimaraner was presented with lameness affecting the left front limb and progressive swelling of the mid-distal radius. Survey radiographs revealed a mid-distal diaphyseal radial lesion. Fine needle aspirates, biopsy, CT scan and histopathology results supported the diagnosis of ABC. Treatment consisted of partial corticotomy of the affected radius, filling of the cystic cavity with demineralised bone matrix and autologous bone graft and stabilisation using lag screws and a neutralisation plate.

RESULTS

The long-term follow-up, at 36 post-operative months, showed no recurrence of the cyst and bone modelling. Comparing preoperative radiographs with those at 36 months, bone modelling reduced the radial area by 23.3% in the craniocaudal radiographic view and 30% in the mediolateral projection.

CONCLUSIONS

This treatment was sucessful in the case here described, with a 3 years follow-up.

摘要

背景

动脉瘤样骨囊肿(ABC)是一种罕见的良性溶骨性病变,影响长骨的髓腔。它在人类医学中已有广泛报道,但在国内动物中很少描述。

目的

报告一例 ABC 犬的手术治疗和长期随访结果。

方法

一只 8 月龄、未去势雌性魏玛犬因左前肢跛行和桡骨中远端进行性肿胀而就诊。初步 X 射线检查显示桡骨中远端骨干病变。细针抽吸、活检、CT 扫描和组织病理学结果支持 ABC 的诊断。治疗包括受影响的桡骨部分皮质切开术、用脱矿骨基质和自体骨移植物填充囊腔以及使用拉力螺钉和中和钢板进行稳定。

结果

36 个月的长期随访显示无囊肿复发和骨改建。将术前 X 射线片与 36 个月时的 X 射线片进行比较,骨改建使桡骨在头尾位的横截面积减少了 23.3%,在内外侧位减少了 30%。

结论

本例治疗成功,随访 3 年。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30b1/8959267/759d43a26f53/VMS3-8-425-g004.jpg

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