骨样骨瘤诊断与治疗

THE DIAGNOSIS AND TREATMENT OF OSTEOID OSTEOMA

目的 :为了进一步了解骨样骨瘤的临床特点。方法 :对 10例骨样骨瘤患者的诊断与治疗进行回顾分析。结果 :10例患者均行手术治疗并经病理证实为骨样骨瘤 ,术后经 1～ 10a随诊效果良好。结论 :无论是骨干骨样骨瘤还是椎体骨样骨瘤 ,普通X光片往往不能显示出典型的瘤巢 ,CT、MRI及同位素扫描方能显示出瘤巢 ,瘤巢所在的部位往往是反应骨最为隆起的部位。瘤巢的准确定位及彻底切除是获得良好效果的关键 ,术中在切除标本内找到瘤巢是手术切除瘤巢的佐证 。

Objective:In order to comprehend the clinical feature of osteoid osteoma. Methods:Reviewing the diagnosis and treatment of 10 cases of osteoid osteoma. Results:All of the 10 cases lesion were operated and confirmed by pathology, and obtained a good results after 1 to 10 years follow up. Conclusion:X-ray always does not reflect the typical nidus no matter the nidus located in the shaft or vertebral body, CT, MRI and radionuclide can usually reflect the nidus. Where is the nidus there is always the highest place of reflective bone. The successful key is the accurate location and complete cut of the nidus. Finding nidus in the cutted specimen is the evidence of cutting the osteoma, and it can also provide convenient for accurate pathological section.