经皮骨成形术治疗骨囊肿

目的:介绍一种在荧光屏监视指导下经皮骨成形术治疗骨囊肿技术及其疗效。方法:我院从2002年12月至2003年4月治疗11例骨囊肿患者,男7例,女4例,平均年龄18.4岁(16岁～24岁)。4例位于股骨粗隆,3例位于肱骨近端,2例位于腓骨小头,2例位于骨盆髂骨翼。在荧光屏监视下进行骨的经皮入路。抽去囊液后注入聚甲基丙烯酸甲酯polymethylmethacrylate(PMMA)。每3个月～6个月进行X线摄片及门诊随访检查。结果:11例患者平均随访24.6个月(22个月～27个月),术后疼痛症状消失,未出现复发、病理骨折、肺栓塞等并发症。结论:经皮骨成形术是一种安全有效的治疗骨囊肿的技术。

Treatment Bone Cyst by Percutaneous Osteoplasty

Objective To describe a fluoroscopically guided technique and it's therapeutic effect for percutaneous osteoplasty.Methods Eleven consecutive patients of bone cyst were reported from December 2002 to April 2003 in our hospital,there were seven men and four women with a mean age of 18 years 4 months (16 to 24 years).Four cysts were in the femural tuberosity,three in the proximal humerus,two in the capitulum fibulae and two in the pelvis ala of ilium.The treatment included percutaneous approaches guided by fluoroscopically,aspiration of fluid in the bone cyst,injection polymethylmethacrylate (PMMA) and X-ray photographs and clinic service follow-up testing.Results The mean follow-up 24.6 months (22～27 months) of eleven consecutive patients,there were no complication including recurrence, pathologic fracture, pulmonary embolism and soon.Pain vanished after treatment in all patients.Conclusion Percutaneous osteoplasty is an safe and effective technique for treatment of bone cyst.