次全切除和异体骨支撑植骨治疗儿童孤立性骨囊肿

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孤立性骨囊肿为儿童与青少年时期常见的骨肿瘤样病变,本院15年来采用次全切除及异体骨支撑植骨方法治疗33例,经2~10年随访,疗效十分满意,现报告如下。1 临床资料 本组男21例、女12例,年龄最小4岁,最大16岁,平均9.5岁。 病变部位:肱骨上端18例,股骨上端7例,股骨下端5例,胫骨上端3例。 X线表现23例为活动性,即囊肿紧挨骨骺软骨板;10例为潜伏性、囊肿与骨骼软骨板有一段距离,囊肿有逐步向骨干方向延伸的趋势。股骨上端病变,只要囊肿紧挨大粗隆或股骨头骨骼软骨板之一者即列为活动性。 Isolated bone cyst is a common bone tumor-like lesions in children and adolescents, the hospital for 15 years with subtotal resection and allograft bone graft treatment of 33 cases, after 2 to 10 years of follow-up, the effect is very satisfactory, are as follows. 1 Clinical data The group of 21 males and 12 females, the youngest 4 years old, maximum 16 years old, with an average of 9.5 years old. Lesions: 18 cases of upper humerus, 7 cases of upper femur, 5 cases of lower femur and 3 cases of upper tibia. X-ray showed 23 cases of activity, that cysts close to epiphyseal cartilage plate; 10 cases of latent cysts and cartilage of the bone plate some distance, the cyst gradually to the backbone direction of the trend. Upper femur lesions, as long as the cyst next to the greater trochanter or femoral head cartilage cartilage that is listed as one activity.
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