弹性髓内钉并病灶刮除混合植骨治疗儿童肱骨骨囊肿

周荣; 邬均; 郑超; 李明

doi:10.16016/j.1000-5404.201710234

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弹性髓内钉并病灶刮除混合植骨治疗儿童肱骨骨囊肿

临床医学 | 更新时间：2026-01-09

- 弹性髓内钉并病灶刮除混合植骨治疗儿童肱骨骨囊肿
- Elastic intramedullary nail combined curettage and bone grafting for the treatment of humeral bone cysts in children
- 第三军医大学学报 2018年40卷第12期页码：1125-1129
- 作者机构：
  
  400014 重庆, 重庆医科大学附属儿童医院骨科，儿童发育疾病研究教育部重点实验室，儿童发育重大疾病国家国际科技合作基地，儿科学重庆市重点实验室
- 作者简介：
  
  [ 李明，E-mail: LM3180@163.com LI Ming, E-mail: LM3180@163.com
- 基金信息：
  
  国家临床重点专科建设项目(国卫办医函【2013】544)
- DOI：10.16016/j.1000-5404.201710234
  中图分类号： R181.32;R687.3;R738.1
- 收稿：2017-10-31，
  
  修回：2018-02-07，
  
  纸质出版：2018-01
- 稿件说明：
移动端阅览
周荣, 邬均, 郑超, 等. 弹性髓内钉并病灶刮除混合植骨治疗儿童肱骨骨囊肿[J]. 第三军医大学学报, 2018,40(12):1125-1129.

Rong ZHOU, Jun WU, Chao ZHENG, et al. Elastic intramedullary nail combined curettage and bone grafting for the treatment of humeral bone cysts in children[J]. Journal of Third Military Medical University, 2018, 40(12): 1125-1129.
周荣, 邬均, 郑超, 等. 弹性髓内钉并病灶刮除混合植骨治疗儿童肱骨骨囊肿[J]. 第三军医大学学报, 2018,40(12):1125-1129. DOI： 10.16016/j.1000-5404.201710234.

Rong ZHOU, Jun WU, Chao ZHENG, et al. Elastic intramedullary nail combined curettage and bone grafting for the treatment of humeral bone cysts in children[J]. Journal of Third Military Medical University, 2018, 40(12): 1125-1129. DOI： 10.16016/j.1000-5404.201710234.

摘要

目的

探讨弹性髓内钉并病灶刮除混合植骨治疗儿童肱骨骨囊肿的疗效，及病灶活跃性对疗效的影响。

方法

回顾性分析2008年5月至2017年4月我院收治的儿童肱骨骨囊肿42例，治疗采用弹性髓内钉并病灶刮除混合植骨或单一病灶刮除混合植骨。按Neer标准评价病灶活跃期情况及治疗效果，采用χ

检验比较两组疗效。

结果

平均随访37.6个月。弹性髓内钉并植骨组22例，其中完全愈合14例，部分愈合7例，复发1例；单一植骨组20例，其中完全愈合9例，部分愈合4例，无反应4例，复发3例。两组的治愈率分别为95.5%(21/22)和65.0%(13/20)，(

=0.034)。22个活动期病灶中仅有5个完全愈合，而20个静止期病灶中有18个完全愈合(

＜0.01)。

结论

弹性髓内钉并病灶刮除混合植骨治疗儿童肱骨骨囊肿有较高治愈率；活动期病灶较静止期病灶完全愈合率低；对活动期病灶可选择弹性髓内钉并病灶刮除混合植骨治疗。

Abstract

Objective

To investigate the clinical therapeutic effect of elastic intramedullary nail combined curettage and bone grafting for the treatment of simple humeral bone cysts in children

and the impact of cyst activity level on curative effect.

Methods

We retrospectively analyzed the details of children with simple humeral bone cysts who were treated in our department from May 2008 to April 2017. The children were treated either with elastic intramedullary nail combined curettage and bone grafting

or only with curettage and bone grafting. The modified Neer standards were used to evaluate

the activity level and the treatment results. Efficacy was evaluated with

Chi

-square test.

Results

Forty-two cases were included and followed up for average 37.6 months. Among 22 cases treated with elastic intramedullary nail and bone grafting

14 cases were completely healed

7 cases were partially healed

and 1 case recurred. The other 20 children were treated only with curettage and bone grafting

in which 9 children were completely healed

4 children were partially healed

4 children showed no response and 3 children recurred. The curative rate was 95.5% (21/22) and 65.0 % (13/20)

respectively

=0.034. There were 5 cases were completely healed in 22 active cysts

but that were 18 cases in 20 latent cysts (

0.01).

Conclusion

Elastic intramedullary nail combined curettage and bone grafting is an effective treatment option for simple bone cysts of the humerus in children

it's also reasonable for the treatment of active cysts

which have lower completely healed rates than latent cysts.

关键词

Keywords

references

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