CAJ | 학술논문

背景：以往文献报道动脉瘤样骨囊肿刮除治疗后复发率较高。 　　目的：探讨LISS钢板内固定结合骨水泥治疗股骨远端动脉瘤样骨囊肿的疗效。 　　方法：对河北省秦皇岛市第一医院2002年1月至2012年1月采用LISS钢板内固定加骨水泥治疗的19例股骨远端动脉瘤样骨囊肿患者进行回顾性分析。动脉瘤样骨囊肿患者的治疗目的是彻底清除囊肿，防止复发，并通过植入物内固定修复重建受损组织结构和功能。 　　结果与结论：19例患者通过LISS钢板内固定加骨水泥治疗后随访1-3年，18例恢复较好，1例治疗后2年复发。动脉瘤样骨囊肿刮除彻底是预防治疗后复发的关键。LISS钢板的设计结合了交锁髓内针的优势和生物型锁定钢板技术融为一体，在动脉瘤样骨囊肿的治疗中具有许多优点。通过骨水泥填充病灶区域，对肿瘤有一定的杀灭作用，并且增加了病灶区域骨的强度。股骨远端动脉瘤样骨囊肿的外科治疗先清除囊肿病灶，然后通过LISS钢板内固定加骨水泥治疗可以减少病变复发。
배경：이왕문헌보도동맥류양골낭종괄제치료후복발솔교고。 　　목적：탐토LISS강판내고정결합골수니치료고골원단동맥류양골낭종적료효。 　　방법：대하북성진황도시제일의원2002년1월지2012년1월채용LISS강판내고정가골수니치료적19례고골원단동맥류양골낭종환자진행회고성분석。동맥류양골낭종환자적치료목적시철저청제낭종，방지복발，병통과식입물내고정수복중건수손조직결구화공능。 　　결과여결론：19례환자통과LISS강판내고정가골수니치료후수방1-3년，18례회복교호，1례치료후2년복발。동맥류양골낭종괄제철저시예방치료후복발적관건。LISS강판적설계결합료교쇄수내침적우세화생물형쇄정강판기술융위일체，재동맥류양골낭종적치료중구유허다우점。통과골수니전충병조구역，대종류유일정적살멸작용，병차증가료병조구역골적강도。고골원단동맥류양골낭종적외과치료선청제낭종병조，연후통과LISS강판내고정가골수니치료가이감소병변복발。
BACKGROUND:The previous literatures have reported that the aneurysmal bone cyst has a high recurrence rate after curettage treatment. OBJECTIVE:To investigate the effect of less invasive stabilization system plate fixation combined with bone cement in the treatment of distal femoral aneurysmal bone cyst. METHODS:A retrospective analysis was conducted in 19 patients with distal femoral aneurysmal bone cyst who treated with less invasive stabilization system plate fixation combined with bone cement in the First Hospital of Qinhuangdao between January 2002 and January 2012. The purpose of the treatment of aneurysmal bone cyst was to completely remove the cyst and prevent recurrence, and to repair and reconstruct the structure and function of the damaged tissues through implant fixation. RESUTLS AND CONCLUSION:The 19 patients were fol owed-up for 1-3 years after treated with less invasive stabilization system plate fixation combined with bone cement, and 18 cases recovered wel , one case had recurrence at 2 years after treatment. Complete removal of aneurysmal bone cyst is the key for the prevention of recurrence. The less invasive stabilization system plate is the combination of advantages of intramedul ary nail and the biological locking plate technology, which has many advantages in the treatment of aneurysmal bone cyst. Fil ing the lesion area with bone cement had certain kil ing effect on tumor, and can increase the bone strength in the lesion area. The surgical treatment of distal femoral aneurysmal bone cyst is to clear the cystic lesions firstly, and then to prevent the recurrence through less invasive stabilization system plate fixation combined with bone cement.