自体骨髓血注射结合弹性髓内针治疗儿童长骨骨囊肿  

Treatment of long bone cyst in children by autologous bone marrow blood injection and elastic intramedullary needle

作　　者：张科学[1] 丑小冰[1] 李浩宇[1] ZHANG Ke-xue;CHOU Xiao-bing;LI Hao-yu(Department of Pediatric Surgery,General Hospital of the Chinese People's Liberation Army,Beijing 100853,China)

机构地区：[1]中国人民解放军总医院小儿外科,北京100853

出　　处：《中国骨伤》2019年第5期475-478,共4页China Journal of Orthopaedics and Traumatology

摘　　要：目的:观察自体骨髓血注射结合弹性髓内针植入方法治疗儿童长骨骨囊肿的临床疗效。方法:自2010年1月至2015年12月采用自体骨髓血注射结合弹性髓内针植入的方法治疗儿童长骨骨囊肿29例,男22例,女7例;年龄2~12岁,平均7.7岁;病程12~84个月。其中肱骨近端17例,股骨近端9例,股骨远端2例,尺骨近端1例。全部骨囊肿患儿行术前X线片检查,必要时加做CT或MRI检查,明确诊断后,治疗方法采用骨髓血注射结合弹性髓内针支撑引流,术后行多次X线检查随访,采用Capanna骨囊肿治疗评价标准进行疗效评价。结果:29例患儿中27例获得随访,随访时间12~60个月,平均31.8个月。按照Capanna骨囊肿评价标准,其中26例治愈,1例部分愈合残留部分病灶。结论:采用自体骨髓血注射结合弹性髓内针治疗单纯性儿童长骨骨囊肿具有疗效确定、高治愈率、并发症少、治疗过程客观可控的特点。Objective:To observe the clinical effect of autologous bone marrow blood injection combined with elastic intramedullary needle implantation in the treatment of long bone cyst in children.Methods:From January 2010 to December2015,29 children with long bone cyst were treated with autologous bone marrow blood injection combined with elastic intramedullary nail implantation,including 22 males and 7 females,aged 2 to 12 years old with an average age of 7.7 years old,and the course of disease was 12 to 84 months.Among them,17 cases were proximal humerus,9 cases were proximal femur,2 cases were distal femur and 1 case was proximal ulna.All children with bone cyst underwent preoperative X-ray examination and CT or MRI examination if necessary.After definite diagnosis,bone marrow blood injection combined with elastic intramedullary needle support and drainage were used as treatment methods.After operation,multiple X-ray examination and follow-up were carried out.The curative effect was evaluated with Capanna bone cyst treatment evaluation criteria.Results:Twenty-seven of 29 children were followed up for 12 to 60 months with an average of 31.8 months.According to the evaluation criteria of Capanna bone cyst,26 cases were cured and 1 case was partially healed with residual lesions.Conclusion:Autologous bone marrow blood injection combined with elastic intramedullary needle has the characteristics of definite curative effect,high cure rate,fewer complications and objectively controllable treatment process for simple long bone cyst in children.

关 键 词：骨囊肿 骨折固定术 髓内 骨髓 儿童 

分 类 号：R726.8[医药卫生—儿科]