骨囊肿刮除术后骨缺损修复的新方法

目的 介绍一种骨囊肿刮除术后修复骨缺损的新方法，并总结其治疗效果。方法 对8例骨囊肿，经手术彻底刮除病灶后所形成的包容性骨缺损，在其骨缺损区的血肿内，植入自体骨膜碎片，通过术前、术后影像学对比和临床功能进行评价。结果 经2－11年随访，X线片显示成骨良好，骨缺损修复，病变未复发，肢体功能正常。结论 病灶彻底刮, 在 骨缺损区血肿内植入自体骨膜碎片，是治疗孤立性骨囊肿的有效新方法。

A NEW METHOD OF BONE DEFECT REPAIRING AFTER BONE CYST CURETTAGE

Objective To introduce a new method of bone defect repairing after bone cyst curettage. Methods Eight cases with bone cyst were treated with this new method. The pieces of autogenous periosteum were implanted into the hematoma within the enveloped bone defect created after the bone cyst curettage. Among these patients, there were 5 males and 3 females, aged from 14 to 36 years old. All the lesions located in the upper of femur except one being located in humerus. The results were evaluated through the postoperative radiological findings with the preoperative ones and analysis of clinical functions. Results All the patients were followed up for 2 to 11 years. X ray films showed that osteogenesis developed well and that the enveloped bone defects had been repaired. No recurrence was found and the function of the affected limbs were maintained. Conclusion Autogenous periosteum grafting is effective in the treatment of solitary bone cyst.