48例儿童骨样骨瘤的诊断与治疗分析

Clinical features and treatment of osteoid osteoma in children:a 48 cases report

[目的]探讨小儿骨样骨瘤的临床特点及治疗方法。[方法]对48例小儿骨样骨瘤的临床特点、X线特点及治疗方法进行回顾性分析。[结果]本组病例均经手术治疗,术后无复发,病变部位疼痛、跛行、脊柱侧凸症状均消失。无植骨反应,无病理性骨折。[结论]根据小儿骨样骨瘤的临床特点、患病部位疼痛及X线可见典型的瘤巢,诊断并不困难。因本病痛苦大,确诊后应早期手术治疗。

[ Objective ] To evaluate the clinical features and treatment of osteoid osteoma in children. [ Method ] A total of 48 cases of osteoid osteoma of children were studied retrospectively. All the patients were treated by operation, and had been followed up for more than 1.5 years. The clinical and radiographic features and treatment methods were analyzed. [ Result ] There were no evidence of recurrence, graft bone reaction and pathologic fracture. The symptoms, such as pain, claudication and scoliosis, disappeared after operation. [ Result ] According to the clinical feature, pain in focal lesion, radiographic findings, the diagnosis of osteoid osteoma is not difficult. Once the diagnosis is confirmed, the operation should be carried out in early stage so as to avoid the pain.