年龄因素对泼尼松治疗孤立性骨囊肿疗效的影响  

The influence of age on the treatment of solitary bone cyst by depo-medrol infiltration

作　　者：王昶[1] 王立胜[1] 孙晓安[1] 

机构地区：[1]深圳市西乡人民医院骨科,广东省深圳518102

出　　处：《中国基层医药》2009年第10期1772-1773,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨年龄因素对使用泼尼松治疗孤立性骨囊肿疗效的影响。方法24例孤立性骨囊肿均采用泼尼松注射治疗，A组12例患者为年龄小于15岁，B组12例患者年龄大于15岁，平均随访4．2年，通过X-ray、临床症状、体征评价A、B两组患者的治疗效果。结果A组8例治愈，4例未愈；B组9例治愈，3例未愈。A、B两组的疗效无明显区别（P=0．653）。结论年龄因素不会影响泼尼松治疗孤立性骨囊肿的治愈率。注射泼尼松时的进针点应该尽量靠近干骺端，使药物能充分作用在病变的骨骺而达到满意疗效。Objective To discuss the influence of age factor on the outcome of the treatment of solitary bone cyst by Depo-Medrol infiltration. Methods 24 cases with Solitary Bone Cyst were analyzed. Age ranged from 4 to 23 years old,mean 10. 8. Female 9 cases,male 15 cases. Humerus 18 cases,femur 2,tibia and fibula 2,radius and ulna 1, pelvis 1.16 cases（66. 6% ）Solitary Bone Cyst at proximal,7 cases （29. 2% ）at distal, 1 （4. 2% ）at medio. 16 cases （66. 6% ）on the right,8 cases（33.4% ）on the left. All cases were treated with l）epo-Medrol infiltration. Mean follow up period was 4. 5 years;review every case＇s result by the X-ray and clinical signs and symptoms. Results Group A 8 e.asea（33. 4% ） healed, Group B 9 cases（ 37. 5% ） healed. There was no significant difference in the healing rate between Group A and B（P = 0. 653）. Conclusions We conclude that the healing rate can not affected by age （P = 0. 653）. In our opinion,the origin of Solitary Bone Cyst is disturbance of bone growth on physis,so we suggest the insertion point of inject needles close to the physis and sufficient to touch the physis.

关 键 词：骨囊肿 泼尼松 年龄因素 

分 类 号：R6[医药卫生—外科学]