激素与骨髓血注射治疗孤立性骨囊肿

Treated solitary bone cysts by steroid or autologous bone marrow injection

  • 摘要: 目的: 探讨激素囊内注射和自体骨髓血移植治疗孤立性骨囊肿的效果。方法: 对确诊的64个病理性骨折愈合后孤立性骨囊肿患儿,采用经皮穿刺抽吸囊液后注射激素或自体骨髓血,回顾性分析其影像学资料和随诊结果。结果: 激素组和自体骨髓血组治愈率分别为43.2%和77.8%(P<0.05);发病年龄在10岁以下者治愈率分别为25.0%、75.0%(P<0.05);10岁以上者治愈率分别为57.1%、80.0%(P>0.05)。结论:骨髓血移植治疗孤立性骨囊肿的疗效优于激素,是一种微创、安全有效的方法。

     

    Abstract: Ojbective: To investigate the result of healing solitary bone cysts by steroid or autologous bone marrow injection.Methods: There were 64 definited solitary bone cysts after union of pathologic fracture injected with steroid or autologous bone marrow after percutaneous aspiration.The result of radiographic inspection after injection and the follow up had been retrospective analyzed.Results: The results of autologous bone marrow(77.8%) was better than the steroid(43.2%).In the group of patients who were less 10 years of age with cysts,the cure rate of autologous bone marrow(75.0%) was higher than the steroid(25.0%).There was no difference in the group of who were over 10 years of age with cysts(57.1% with 80.0%).Conclusion: The results of autologous bone marrow injected for solitary bone cysts is better than the steroid,and it is a safe、 highly effective and minimally invasive way to cure simple bone cyst.

     

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