骨内脂肪瘤19例回顾分析  

Intraosseous lipoma:retrospective analysis of 19 patients

作　　者：薛文[1] 王增平[1] 管晓鹂[2] 刘林[1] 钱耀文[1] 

机构地区：[1]甘肃省人民医院骨2科,甘肃兰州730000 [2]兰州大学第二医院骨2科,甘肃兰州730000

出　　处：《中国骨伤》2017年第3期279-281,共3页China Journal of Orthopaedics and Traumatology

摘　　要：目的 :探讨骨内脂肪瘤的诊断和治疗策略。方法 :回顾性分析自1986年6月至2016年1月收治的骨脂肪瘤患者19例,男12例,女7例;年龄24~76岁,其中13例年龄为40~50岁。因疼痛、肿胀就诊15例,体检偶然发现3例,另1例为骨囊肿刮除术后4年发生骨缺损脂肪瘤替代。X线片表现为边界清楚的溶骨性破坏,CT或MRI显示脂肪当量的病损,能术前确诊。其中16例采用手术治疗,3例采用保守治疗。结果:19例患者均获得随访,时间9~42个月,平均15个月。手术治疗的16例患者无临床或放射学信号复发,3例保守观察的患者病变无扩大。结论:对确诊而无临床症状的骨内脂肪瘤应采取保守观察,有明确症状的患者应积极手术病灶刮除植骨。Objective：To investigate the diagnostic and therapeutic procedures of intraosseous lipoma. Methods：From June 1986 to January 2016,19 patients with intraosseous lipoma were treated including 12 males and 7 females,aged from 24 to 76 years,a predilection aged was from 40 to 50 years in 13 cases. Symptoms presented with pain or swelling in 15 patients,the lesions were found incidentally in 3 patients,another case was bone defect lipoma replacement after curettage of bone cyst for 4 years. On plain X ray flims of all bones showed a well circumscribed radiolucent area. Diagnosis was established with CT or MRI. Among them,16 cases were treated by surgical operation,3 cases were treated by concervative treatment. All patients＇ clinical data,histologic findings and X ray,CT and MRI were analysed. Results：Total 19 patients were followed up from 9 to42 months with an average of 15 months. There was no local tumor recurrence in 16 patients after excising the tumors,the remaining 3 patients showed no enlargement of the lesion. Conclusion：Surgical intervention is considered as an unnecessary in the patients diagnosied intraosseous lipoma by MRI or CT. Patients with symptomatic should adopt surgical treatment with curettage and bone grafting.

关 键 词：骨内脂肪瘤 体层摄影术 X线计算机 骨肿瘤 诊断技术 外科学 

分 类 号：R738.1[医药卫生—肿瘤]