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单房性骨囊肿和动脉瘤样骨囊肿。

Unicameral and aneurysmal bone cysts.

作者信息

Campanacci M, Capanna R, Picci P

出版信息

Clin Orthop Relat Res. 1986 Mar(204):25-36.

PMID:3956013
Abstract

One hundred and seventy-eight cases of unicameral bone cysts (UBC) treated with curettage and bone grafting were compared to 141 cases treated with cortisone injections. The end results were comparable in the two groups. Local recurrence risk factors in the surgical group were active cyst and previous operations. In the other group they were multilocation of the cyst, active cyst, and size of cyst. A new radiographic classification of aneurysmal bone cyst (ABC) is proposed in a report of 198 cases of ABC. The treatment of choice in ABC is surgical and the type (curettage, curettage plus phenole or cryosurgery, resection or hemiresection) is selected on the basis of the radiographic aspect and the rate of growth of the cyst. Radiotherapy is only indicated in inoperable ABC cases.

摘要

将178例采用刮除术和骨移植治疗的单房性骨囊肿(UBC)病例与141例采用皮质醇注射治疗的病例进行了比较。两组的最终结果相当。手术组的局部复发危险因素为活跃性囊肿和既往手术史。另一组的危险因素为囊肿多部位、活跃性囊肿和囊肿大小。在一篇关于198例动脉瘤样骨囊肿(ABC)的报告中提出了一种新的ABC影像学分类方法。ABC的首选治疗方法是手术,手术类型(刮除术、刮除术加苯酚或冷冻手术、切除术或半切除术)根据囊肿的影像学表现和生长速度来选择。放疗仅适用于无法手术的ABC病例。

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