CAJ | 학술논문

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.
목적 탐토년령인소대사용발니송치료고립성골낭종료효적영향.방법 24례고립성골낭종균채용발니송주사치료,A조12례환자위년령소우15세,B조12례환자년령대우15세,평균수방4.2년,통과X-ray、림상증상、체정평개A、B량조환자적치료효과.결과 A조8례치유,4례미유;B조9례치유,3례미유.A、B량조적료효무명현구별(P=0.653).결론 년령인소불회영향발니송치료고립성골낭종적치유솔.주사발니송시적진침점응해진량고근간후단,사약물능충분작용재병변적골후이체도만의료효.
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 Depo-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 cases (33.4%) healed, Group B 9 cases (37.5%) healed. There was no significant difference in the healing rate be-tween 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 in-sertion point of inject needles close to the physis and sufficient to touch the physis.