Freiberg A A, Loder R T, Heidelberger K P, Hensinger R N
Section of Orthopaedic Surgery, University of Michigan, School of Medicine, Ann Arbor.
J Pediatr Orthop. 1994 Jan-Feb;14(1):86-91. doi: 10.1097/01241398-199401000-00018.
We reviewed seven young children (< or = 10 years) with aneurysmal bone cysts. There were four girls and three boys. Six had involvement of the long bones and one had involvement of the clavicle. The average age was 5.5 years (range 2.9-10.6 years). Initial treatment was curettage and bone grafting. There were recurrences in five of the seven children (71%). This represented 100% of children with radiographically aggressive or active lesions. The recurrences appeared rapidly, at an average of 8 months from the first procedure. The mitotic index of the initial lesion did not correlate with that of the recurrent lesion. Surgical management of the recurrences must be handled individually, but repeat curettage and grafting is only recommended when surgical resection is not possible. This high rate of recurrence in radiographically aggressive or active aneurysmal bone cysts in young children should be considered when planning treatment, and in the preoperative counseling of parents.
我们回顾了7例患有动脉瘤样骨囊肿的幼儿（年龄≤10岁）。其中有4名女孩和3名男孩。6例累及长骨，1例累及锁骨。平均年龄为5.5岁（范围2.9 - 10.6岁）。初始治疗为刮除术和骨移植。7名儿童中有5例（71%）复发。这占影像学表现为侵袭性或活动性病变儿童的100%。复发出现迅速，平均在首次手术后8个月。初始病变的有丝分裂指数与复发病变的有丝分裂指数无关。复发病变的手术处理必须个体化，但仅在无法进行手术切除时才建议再次刮除和移植。在制定治疗计划以及对家长进行术前咨询时，应考虑幼儿中影像学表现为侵袭性或活动性的动脉瘤样骨囊肿的这种高复发率。
