Abstract
目的 探讨病灶刮除术联合自体髂骨和同种异体骨移植术治疗儿童跟骨单房性骨囊肿的疗效。 方法 回顾性分析2006年1月至2009年6月在中国医科大学附属盛京医院小儿骨科治疗的全部儿童跟骨单房性骨囊肿病例,共9例(9足),男7例,女2例;左侧5例,右侧4例;3例是在踝关节扭伤后拍摄跟骨X线片时偶然发现,6例主诉负重时足跟疼痛经X线片证实跟骨骨囊肿。治疗时年龄3~16岁(平均11.6岁)。全部患者均行跟骨X线片和跟骨CT检查,其中4例行跟骨MRI检查。首次治疗均采用骨囊肿病灶刮除术联合自体髂骨和同种异体骨移植术。所有骨囊肿均经病理学证实为单房性骨囊肿。 结果 全部患儿在治疗前均未发现病理性骨折。平均随访46.8个月(28~78个月)。术后最近一次随访时无临床症状,X光片和CT显示8足治愈,1足治愈但残留病灶。随访期间未发现感染﹑髂骨供体区疼痛﹑病理性骨折和疾病传播等。 结论 病灶刮除术结合自体髂骨和同种异体骨移植术对于儿童跟骨单房性骨囊肿有良好的治疗作用。
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