小儿单纯性骨囊肿腔内激素注射5年随访

The Effects of Methylprednisoloe Acetate as a Treatment of Simple Bone Cyst in Children:Result of Five Years Follow-up

目的 :探讨小儿单纯性骨囊肿腔内激素注射治疗其远期疗效。方法 :对 17例本病进行回顾性分析 ,男 11例 ,女 6例 ,年龄 4～ 12岁 ,17例行骨囊肿腔内强地松龙注射治疗 ,2～ 3月注射 1次 ,总疗程共给药 3～ 5次 ,其中 9例 5次、5例 4次、3例 3次。每例每次注射均行X线摄片作比较。结果 :本组 17例随访 5～ 14年 ,根据骨囊肿完全消失或尚存残微小囊腔而不必治疗者为痊愈 ,囊腔消失 5 0 %以上者为好转和经注射 2次骨囊肿无变化为无效。本组 17例痊愈 ,好转和无效为零例。但本组有 4例从放射学角度属异常。 17例均无激素并发症。结论 :本病激素注射治疗远期疗效良好 ,简单易行。

Objective:To evaluate final results obtained in the treatment of simple bone cyst with Methylprednisoloe Acetate.Method:17 patients admitted with simple bone cyst were reviewed.Male 11 and female 6,and the age ranged from 4 to 12 years.Repeat injection in these patient was done at 2 or 3 months after injection.When injections therapy,roentgenographic evaluation is necessary for comparison views.Total courses are 3 to 5 cycles.Among them,9 cases are 5 cycles,5 caces are 4 cycles and 3 cases are 3 cycles.Results:17 cases were followed up for 5 to 14 years.They were assessed by cyst compeltely slow to resolve or residual microcysts,more than 50% cyst resolve and cyst never change.17 healed,recovering and no change were absent.Conclusion:Methylprednisolone a cetate in the treatment of simple bone cyst in children is effective and simple for these patients.