期刊文献+

骨样骨瘤的诊断与治疗 被引量:9

Diagnosis and treatment of osteoid osteoma
下载PDF
导出
摘要 目的:研究骨样骨瘤的临床特点以及外科治疗效果,提高诊治水平。方法:回顾性分析1997年1月至2009年10月确诊的35例骨样骨瘤的临床资料,其中男25例,女10例,平均发病年龄21岁(6~49岁)。最常见的部位为胫骨(13例)和股骨(7例)。发病至确诊时间平均为12个月(1~24个月),典型的症状为疼痛,夜间加重,服用非甾体抗炎药可缓解,影像学表现为一圆形或卵圆形的瘤巢。所有患者均经手术治疗:单纯肿瘤切除9例,肿瘤刮除或切除人工骨或自体骨植骨19例,肿瘤刮除或切除植骨固定7例。结果:术后平均随访49个月(2个月~12年),所有患者疼痛症状均消失,未见病灶复发。1例术后4个月出现胫骨病理性骨折,经钢板螺钉内固定后治愈。1例术后5年窦道形成,行窦道切除、髓内钉取出、清创术后治愈。结论:根据典型临床表现、影像学特点,骨样骨瘤的诊断并不困难,为缓解症状、提高生活质量、预防远期并发症,确诊后应尽早手术治疗。 Objective:To study the clinical features and surgical treatment of osteoid osteoma and improve the diagnostic therapeutic level.Methods:Clinical data of 35 patients(25 males and 10 females) with osteoid osteoma diagnosed and treated between January 1997 to October 2009 were retrospectively reviewed.The average age was 21 years(ranged,6 to 49 years).The average interval time between onset of symptoms and diagnosis was 12 months(ranged,1 to 24 months).The most common sites were the tibia(13 patients) and the femurs(7 patients).The most common presenting complaints for patients with osteoid osteoma was pain which usually responded to NSAIDs and was generally more severe at night.The imaging manifestations re-vealed a circular or oval nidus.All the patients underwent surgical treatment.The tumors were treated with curettage or exci-sion with autograft or allograft in 19 patients,simple surgical resection in 9 patients,curettage or excision with autograft or allo-graft and fixation in 7 patients.Result:The mean follow-up period was 49 months(ranged,2 months to 12 years).The symp-tom of pain disappeared after operation.There were no evidence of recurrence.Tibial pathological fracture happened in one pa-tient 4 months postoperatively,and the patient got healing after plate screw internal fixation.One patient with sinus formation 5 years postoperatively got wound healing after sinus resection,intramedullary nail removal and debridement.Conclusion:Ac-cording to the typical clinical presentation,radiographic findings,the diagnosis of osteoid osteoma is not difficult.Once the di-agnosis is confirmed,the operation should be carried out as early as possible to relieve the symptoms,improve the quality of life and prevent long term complications.
出处 《中国骨伤》 CAS 2010年第8期629-631,共3页 China Journal of Orthopaedics and Traumatology
关键词 骨瘤 骨样 诊断 治疗 外科手术 Osteoma osteoid Diagnosis Therapy Surgical procedures operative
  • 相关文献

参考文献11

  • 1Lin HH,Yu CT,Chang IL,et al.Painful scoliosis secondary to ost eoid osteoma of the lumbar spine in adolescents[J].Int Surg,2008,93(1):32-36.
  • 2胡勇,杨述华.浅谈骨样骨瘤诊治[J].中国骨伤,2005,18(9):569-571. 被引量:1
  • 3Fenichel I,Garniack A,Morag B,et al.Percutaneous CT guided curettage of osteoid osteoma with histological confirmation:a retrospective study and review of the literature[J].Int Orthop,2006,30(2):139-142.
  • 4Monta?ez Heredia E,Serrano Montilla J,Merino Ruiz ML,et al.Osteoid osteoma:CT guided radiofrequency ablation[J].Acta Orth op Belg,2009,75(1):75-80.
  • 5Martel Villagrán J,Bueno Horcajadas A,Ortiz Cruz EJ.Percutaneous radiofrequency ablation of benign bone tumors:osteoid osteoma,osteoblastoma,and chondroblastoma[J].Radiologia,2009,51(6):549-558.
  • 6Klass D,Marshall T,Toms A.CT guided radiofrequency ablation of spinal osteoid osteomas with concomitant perineural and epidural irrigation for neuroprotection[J].Eur Radiol,2009,19(9):2238-2243.
  • 7Donkol RH,Al Nammi A,Moghazi K.Efficacy of percutaneous radiofrequency ablation of osteoid osteoma in children[J].Pediatr Ra diol,2008,38(2):180-185.
  • 8Sung KS,Seo JG,Shim JS,et al.Computed tomography guided percutaneous radiofrequency thermoablation for the treatment of osteo id osteoma 2 to 5 years follow up[J].Int Orthop,2009,33(1):215-218.
  • 9Zouari L,Bousson V,Hamzé B,et al.CT guided percutaneous laser photocoagulation of osteoid osteomas of the hands and feet[J].E ur Radiol,2008,18(11):2635-2641.
  • 10Cribb GL,Goude WH,Cool P,et al.Percutaneous radiofrequency thermocoagulation of osteoid osteomas:factors affecting therapeutic outcome[J].Skeletal Radiol,2005,34(11):702-706.

二级参考文献27

  • 1金治宁,王之章,李春林,王继铭,邓向东,刘玉林,金耀清.正常骨与软骨的冻蚀范围及其致死临界温度的实验研究[J].中国医科大学学报,1995,24(1):41-44. 被引量:6
  • 2夏贤良 杨迪生 等.冷冻治疗骨肿瘤[J].中华骨科杂志,1986,6(3):209-209.
  • 3李春林 金冶宁 等.液氨冷冻治疗42例骨巨细胞瘤临床观察[J].中华医学杂志,1987,67(2):68-68.
  • 4Westhovens R, Dequeker J. Musculoskeletal manifestations of benign and malignant tumors of bone. J Pediatr Orthop B, 2003,15 ( 1 ) : 70-75.
  • 5Venbrux AC, Montague BJ, Murphy KIP, et al. Image-guided percutaneous radiofrequency ablation for osteoid osteomas. J Vasc Interv Radiol,2003,14(3) :375 380.
  • 6Kamel B,Artur X,Antoine F. Thoracic spine osteoid osteoma. Europ J Radio Extra, 2003,46: 74-77.
  • 7Baruffi MR, Volpon JB, Nero JB, et al. Osteoid osteomas with chromosome alterations involving 22q. Cancer Genet Cytogent, 2001,124 (2) :127-131.
  • 8Kalil RK,Antunes JS. Familial occurrence of osteoid osteoma. Skeletal Radiol, 2003,32(7) :416-419.
  • 9Mungo DV,Zhang X,O'keefe RJ ,et al. COX-1 and COX-2 expression in osteoid osteoma. J Orthop Re.s, 2002,20 ( 1 ) : 159-162.
  • 10Spouge AR, Thain LM. Osteoid esteoma: MR imaging revisited. Clin Imaging, 2000,24 : 19-27.

共引文献1

同被引文献40

  • 1傅颖颖,颜方方,柳方,李梅,赵倩倩,周隽,林杰果,沈继.关节囊内骨样骨瘤影像学表现及分析[J].临床放射学杂志,2021,40(3):570-574. 被引量:4
  • 2张自雄,周意.鼻眶联合进路切除眶内巨大骨瘤1例[J].临床耳鼻咽喉科杂志,2005,19(14):659-659. 被引量:3
  • 3Seil R,Litzenburger H,Kohn D,et al. Archroscopic treat- ment of chronically painful calcifying tendinitis of the supraspinatus tendon. Arthroscopy,2006,22 (5) : 521 - 527.
  • 4Wittenberg RH, Rubenthaler F,Wolk T,et al. Surgical or conservative treatment for chronic rotator cuff calcifying tendinitis-a matched-pair analysis of 100 patients. AOTS, 2001,121:56-59.
  • 5Fumkawa M,Anazawa U,Horiuchi K,et al. Arthroscopic removal of intra-articular osteoid osteoma in the knee: case report and review of the literaturet J Orthop Sci, 2011,16 : 321-325.
  • 6Franceschi F,Marinozzi A,Papalia R,et al. Intra- and juxta-articular osteoid osteoma: a diagnostic challenge. Archives of Orthopaedic and Trauma Surgery,2006,126 (10) :660-667.
  • 7Szendroi M, Kb31o K,Antal I,et al. Intraarticular osteoid osteoma: clinical features,imaging results, and comparison with extraarticular localization. Journal of Rheumatology, 2004,31 (5) :957-964.
  • 8Kristy LW, Bernard FM. Osteoid osteoma of the elbow:a diagnostic challenge. J Bone Joint Surg, 1999,81-A (8): 1111-1119.
  • 9Campanacci M,Ruggieri P,Gasbarrini A,et al. Osteoid osteoma. J Bone Joint Surg, 1999,81B(5) : 814-820.
  • 10Eggel Y,Theumann N, Luthi F. Intra-articular osteoid os- teoma of the knee :clinical and therapeutical particulari- ties. Joint Bone Spine,2007,74 : 379-81.

引证文献9

二级引证文献21

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部