关节镜下治疗关节内骨样骨瘤7例临床报道  

The Arthroscopy Treatment of Intra-articular Osteoid Osteoma:7 Cases Report

作　　者：何震明[1] 崔国庆[1] 林共周[1] 肖建[1] 胡跃林[1] 

机构地区：[1]北京大学第三医院运动医学研究所,北京100191

出　　处：《中国运动医学杂志》2010年第1期62-64,共3页Chinese Journal of Sports Medicine

摘　　要：目的:探讨关节内骨样骨瘤的诊断和关节镜手术治疗经验。方法:回顾性研究我所于2006年3月～2009年6月手术治疗的7例关节内骨样骨瘤患者。患者平均年龄22.4(11～32)岁。术前均进行薄层CT检查确定诊断和进行手术定位。治疗采用关节镜下定位肿瘤位置,刮勺取出瘤巢。结果:从出现临床症状到确定诊断之间的平均时间为26个月(18～36个月)。术后平均随访时间19个月,患者症状较术前明显改善,表现为VAS评分下降,无复发,疼痛缓解,活动范围正常等。结论:关节内的骨样骨瘤由于不典型的临床症状和平片表现常常导致确诊时间延长。采用关节镜治疗关节内的骨样骨瘤是一种安全有效的方法。Objective To summarize the clinical experience of diagnosis and arthroscopic treatment of intra-artic-ular osteoid osteoma.Methods Seven patients（average 22.4 years old with range from 11～32 years）with intra-articular osteoid osteoma who underwent arthroscopy treatment from March 2006 to June 2009 were studied respectively.Thin-section CT scanning was used to confirm diagnosis and determine surgery location.Results The time span between the appearance of clinical symptoms and confirmed diagnosis was 26.0 months on average（range from 18 to 36 months）.At a mean 19-month follow-upa,ll patients showed significant improvements including VAS decrease,no recurrence,pain relief and normal range of motion.Conclusion The atypical clinical features and radiographic findings of osetoid osteoma might lead to the delayed diagnosis.Using arthroscopy to remove intro-articular osteoid ostema was a safe and effective way.

关 键 词：骨样骨瘤 关节镜 关节内 

分 类 号：R738[医药卫生—肿瘤]