动脉瘤样骨囊肿误诊原因分析

我院近10年来共收治动脉瘤样骨囊肿14例，现结合文献复习，对该病的临床与病理、诊断与治疗讨论如下。1·临床资料1．1性别与年龄本组男8例、女6例，年龄最小5岁，最大37岁，平均19岁。1．2发病部住胜骨上段《例，股骨上段3例，股骨下段1例、肽骨上段2例，腕头状骨1例、手第H掌骨1例、颅顶骨1例，胸椎椎体1例。1．3发病时间起病时间最短H周、最长9年、平均2年5个月。1．4临床表现患病部位有包块者10例，有疼痛13例，功能受限者8例，有外伤史6例，发生病理性骨折者2例。1·SX线现象表现为向外膨胀性骨质破坏区，破坏区内常有粗细不一排列不…

AN ANALYSIS OF MISDIAGNOSIS OF ANEURYSNAL BONE CYST

Misdiagnosis and missed diagnosiswere very common in aneurysnal bone cyst,especially when they were acompanied withother diseases. It was difficult to make confirmeddiagnosis before pathological examination.14 cases with this disease weretreated in our hospital recently.Before operation, some were misdiagnosedas giant cell tumor of bone, bonecyst, granuloma, osteogenic sarcome, etc.In basic hospital, some were misdiagnosedas thecal cyst or arthritis, The main causesof misdiagnosis are that this disease hassimilar symptoms and X-ray signs to the giantcell tumor of bone and the bone cyst.But the expension parts in this disease bulgewhich look like canvas. Also it has intactoutline and some periosteal reactions whichare the main evidences of diagnosis.This disease is treted mainly by curettingand grafting. lt was treated by graftingwith bone matrix gelatin in our hospital andsatisfactory results were obtalined.