孤立性骨囊肿的治疗：附33例报告

报道了自1961年4月至1987年5月收治的33例骨囊肿。孤立性骨囊肿好发于儿童、青少年的长管状骨,本组16例在11～20岁之间。骨囊肿首选手术治疗,以囊肿刮除加植骨为优。手术关键在于彻底刮除囊肿,冲洗囊腔,紧密植骨。本组30例行囊肿刮除加植骨术,3例行单纯刮除术。29例得访,随访时间最长26年,最1(1/2)年。25例囊肿全部消失,占86.2％;2例有残留缺损,2例复发,总复发率13.8％。

Treatment of Solitary Bone Cyst (with a Report of 33 Cases).

A series of 33 solitary bone cysts, treated from April 1961 to May 1987, were presented in this article. This kind of cysts are located mainly on long tubular bones and they are most likely a kind of osteoma liable to occur in youngsters. There were 16 cases in our series in the second decade of life. Among the 33 cases, 3 were treated by curettage alone and 30 cases were treated by curettage and bone-grafting. Twentynine cases were followedup for 1.5-26 years. The cysts were eradicated in 25 cascs(86.2%), residual defects presented 2 cases and recurrences were seep. in 2 cases. The total recurrence rate of this series was only 13.8%. The authors hold that surgical treatment is the first choice for bone cyst. The key to the operation depends on thorough curettage of the lesion, thorough washing of the cystic cavity with hydrogen peroxide solution(additional cauterizations to the wall of the cystic cavity by carbolic acid, alcohol or silver nitrate in 5 caess) and followed by compact filling of the cavity with autologous or homologous bone grafts or bone cement.