摘要
目的报道经皮囊内注射移植自体骨髓治疗８例单房性骨囊肿的疗效。方法保守治疗８例单房性骨囊肿，男５例，女３例，平均年龄１０岁５个月（７～１８岁）。５例位于肱骨近端，２例位于股骨颈，１例位于股骨干。抽去囊液后注入从髂骨吸取的骨髓。结果平均用骨髓３５ｍｌ（３０～６５ｍｌ）。５ｍｌ组每个穿刺点骨髓有核细胞为（５８５±２９９）×１０９／Ｌ。计算机测量平均囊腔面积为１０９００４ｍｍ２。未见手术并发症发生。下肢治疗６周后去石膏逐渐负重。治疗后６个月内Ｘ线片示所有囊腔骨化，随访６～１７个月，平均１１个月，骨愈合满意，未见并发症发生。结论经皮囊腔内注射移植自体骨髓治疗单房性骨囊肿有效。
Objective The results of a single percutaneous aspiration and
injection of bone marrow into simple bone cysts in 8 cases are reported Methods Eight
consecutive cases of simple bone cyst were reported,there were five boys and three girls with a
mean age of 10 years 5 months (7 to 18 years) Five cysts were in the proximal humerus, two in
the proximal femur,one in the femur shaftThe treatment included percutaneous aspiration of
fluid in the bone cyst and injection of autogenous bone marrow aspirated from the iliac crest
Results The mean volume of marrow injected was 35 ml (3065 ml) and the mean number of
nucleated cells in bone marrow was( 5852 99)10 9/L in each point with 5 ml aspirationThe mean
area of bone cysts by computer measurement before injection was 1 09004 mm2 There were no
perioperative complications All eight cysts consolidated radiologically remodelling within six
months Reveiw at 6 to 17 months showed satisfactory healing without complications
Conclusion Percutaneous injection of autologous bone marrow appears to be an effective
treatment for unicameral bone cysts
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1999年第5期285-287,共3页
Chinese Journal of Orthopaedics
