Rasool M N, Govender S, Naidoo K S
Department of Orthopaedics, University of Natal, Durban, Republic of South Africa.
J Bone Joint Surg Br. 1994 Jan;76(1):113-7.
We treated 13 children with histologically confirmed cystic tuberculosis of bone. Ten had solitary cystic lesions and three had the multicystic form. Signs and symptoms were related mainly to the joint adjacent to the cyst. Most lesions were in the metaphyses of long bones. They were radiolucent, round or oval, and resembled pyogenic infections, aneurysmal and simple bone cysts, cartilaginous tumours or osteoid osteoma. Only two of the children had pulmonary tuberculosis. The Mantoux skin test was negative in four children and the ESR was normal in five. Curettage followed by anti-tuberculosis therapy for one year resulted in good healing, but two children had residual joint contractures. Biopsy should be taken from the cystic area rather than from the synovium when a joint is involved.
我们治疗了13例经组织学确诊的骨囊性结核患儿。10例有孤立性囊性病变，3例为多囊性。体征和症状主要与囊肿相邻的关节有关。大多数病变位于长骨的干骺端。它们呈透X线、圆形或椭圆形，类似化脓性感染、动脉瘤性和单纯性骨囊肿、软骨肿瘤或骨样骨瘤。只有两名患儿患有肺结核。4名患儿结核菌素皮肤试验阴性，5名患儿血沉正常。刮除术加抗结核治疗一年后愈合良好，但两名患儿有残留关节挛缩。当累及关节时，活检应取自囊性区域而非滑膜。
