[1]徐云峰 万世奇 张骥 冯超 尤海峰 傅刚 吕学敏 朱振华 杨征**.弹性髓内针固定联合经皮穿刺人工骨注射治疗儿童肱骨单纯性骨囊肿：31例中期随访结果[J].中国微创外科杂志,2022,01(7):540-544.
　Xu Yunfeng,Wan Shiqi,Zhang Ji,et al.Elastic Intramedullary Nailing Fixation Combined With Percutaneous Injection of Artificial Bone for Simple Bone Cyst of the Humerus in Children: Midterm Followup Results of 31 Cases[J].Chinese Journal of Minimally Invasive Surgery,2022,01(7):540-544.
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弹性髓内针固定联合经皮穿刺人工骨注射治疗儿童肱骨单纯性骨囊肿：31例中期随访结果()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2022年7期
页码:
540-544
栏目:
临床研究
出版日期:
2022-10-09

文章信息/Info

Title:
Elastic Intramedullary Nailing Fixation Combined With Percutaneous Injection of Artificial Bone for Simple Bone Cyst of the Humerus in Children: Midterm Followup Results of 31 Cases
作者:
徐云峰 万世奇 张骥 冯超 尤海峰 傅刚 吕学敏 朱振华 杨征**
(北京积水潭医院小儿骨科，北京100035)
Author(s):
Xu Yunfeng;  Wan Shiqi;  Zhang Ji;  et al.
Department of Pediatric Orthopaedics, Beijing Jishuitan Hospital, Beijing 100035, China
关键词:
肱骨; 弹性髓内针; 单纯性骨囊肿; 植骨; 儿童
Keywords:
Humerus; Elastic intramedullary nailing; Simple bone cyst; Bone graft; Children
文献标志码:
A
摘要:
目的探讨弹性髓内针固定联合人工骨注射治疗儿童肱骨单纯性骨囊肿的疗效。方法2015年6月~2019年6月，对31例儿童肱骨单纯性骨囊肿，在C臂机透视下，在肱骨内、外上髁分别做1 cm切口，由肱骨远端向近端置入2枚弹性髓内针固定，经皮穿刺注射人工骨填充病灶。结果手术时间60~95 min，(68.0±10.5)min；术中出血量20~50 ml，(347±8.7)ml。31例随访36~65个月，(49.6±10.8)月。按改良Neer标准，Ⅰ级(愈合)22例，Ⅱ级(部分愈合)8例，Ⅲ级(持续存在)1例，无Ⅳ级(复发)，治疗有效率96.8%(30/31)。无感染、病理性骨折。结论采用弹性髓内针固定联合经皮穿刺人工骨注射治疗儿童肱骨单纯性骨囊肿疗效满意。
Abstract:
ObjectiveTo investigate the efficacy of elastic intramedullary nailing fixation combined with artificial bone injection in minimally invasive treatment of simple bone cyst of humerus in children.MethodsFrom June 2015 to June 2019, 31 children with simple bone cyst of humerus were treated. Under the Carm Xray fluoroscopy, a 1 cm incision was made in the inner and outer epicondyles of the humerus, and two elastic intramedullary needles were implanted from the distal end of the humerus to the proximal end for fixation. Percutaneous puncture of artificial bone injection was conducted to fill the lesion.ResultsThe operation time was 60-95 min (mean, 68.0±10.5 min); the intraoperative blood loss was 20-50 ml (mean, 34.7±8.7 ml). All the 31 cases were followed up for 36-65 months (mean, 49.6±10.8 months). According to the modified Neer classification of healing, 22 cases healed in grade Ⅰ (healed), 8 cases reached grade Ⅱ healing (healing with defects), 1 case was grade Ⅲ (persistent cyst), and 0 case grade Ⅳ (recurrent cyst), the effective rate being 96.8% (30/31). No infection or pathological fracture occurred.ConclusionElastic intramedullary nailing fixation combined with percutaneous artificial bone injection has a satisfactory result in the treatment of simple bone cyst of humerus in children.

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备注/Memo

备注/Memo:
基金项目：北京市自然科学基金(L212041)；北京积水潭医院院级科研基金项目(ZR-202222)**通讯作者，Email：117228569@qq.com
更新日期/Last Update: 2022-10-09