颅骨嗜酸性肉芽肿的穿刺活检与强的松龙局部注射治疗

Percutaneous Puncture Biopsy and Treatment Using Locai Injection of Prednisolone for Solitary Eosinopkilic Granuloma of tbe Skull

８例颅骨嗜酸性肉芽肿经皮骨芽刺获得确诊后，局部穿刺注入强的松龙治疗，取得了良好的效果。１周内局部疼痛和肿块消失。５例治疗１４～２６个月颅骨破坏完全修复；３例治疗６～２２个月颅骨破坏大部分修复。修复开始为骨破坏边缘硬化，随后内板、外板破坏边缘呈向心性骨增生修复，颅内板的修复速度比外板快约１／４～１／２时间。

This article reported 8 cases of solitary eosinophilic granuloma of the skull proved by percuta neo us as piratio n biops y and t reated with local prednisolo ne inject ion under fluoroscopic guidance and palpation with excellent result.Local pain and soft tissue mass promptly disappeared within 1 week of injection in all patients and no complications were encountered.Complete bone re-pair of the destructed area was noticed in 5 cases in 14～26 months. and subtotal repair in 3 cases in 6～22 months. Recovery began with marginal reactive sclerosis of the destructive area fOllowed by repair of the inner and outer tables in a centripetal way. Bone repair of the inner table of the skull was faster than the outer table by 1/4～1/2.