Robbins H
Bull Hosp Jt Dis Orthop Inst. 1982 Spring;42(1):1-16.
Methylprednisolone acetate injections into bone cysts are as effective a treatment as curettement and packing. More than one injection may be necessary since recurrences have been seen in half the cases treated with a single injection. Fracture of the cystic part may occur before or after injection if bony filling has not taken place. The fracture may be serious if it involves the neck of the femur. The method is safe and does not result in an unsightly scar. Solitary eosinophilic granulomata of bone also reportedly respond positively to direct injections fo methylprednisolone into the lesion by signs of healing and with relief of pain.
向骨囊肿内注射醋酸甲泼尼龙与刮除术及填充术的治疗效果相当。由于单次注射治疗的病例中有半数出现复发,可能需要进行不止一次注射。如果未发生骨质填充,在注射前或注射后囊肿部位可能会发生骨折。如果骨折累及股骨颈,则可能较为严重。该方法安全,不会留下难看的疤痕。据报道,骨孤立性嗜酸性肉芽肿对向病变部位直接注射甲泼尼龙也有积极反应,表现为愈合迹象且疼痛缓解。