摘要
目的探讨邻关节骨囊肿的临床特点。通过1例股骨头颈部临关节骨囊肿诊治中发现新的病理改变,追问有髋部疼痛、跛行15年病史,关节面软骨破坏、磨损、消失,囊肿周围骨质硬化、变白,髋臼亦硬化、变白。方法采用手术治疗的股骨头颈部邻关节骨囊肿进行分析,手术方法行股骨头颈部肿瘤切除人工全髋关节置换术,术中发现头颈部圆形破坏5·0cm×3·4cm×3·2cm,关节间隙消失,半脱位,圆形骨质破坏内含胶冻样物并有灰白纤维组织囊壁,囊壁易剥离,厚约2mm,股骨头剖面正常骨质消失,转化为白色硬化矿化骨,髋臼骨质亦硬化、变白。结果随访8个月,病灶无复发,功能良好。结论邻关节骨囊肿是一种罕见的类肿瘤疾患,难于早期正确诊断;建议行MRI检查,并尽早结合手术探查及病理检查完成诊治。
Objective To discuss the clinical characteristic of juxta - articular bone cyst. Methods The patient with 15 - years history of juxta - articular bone cyst of femoral head and neck was treated by resection and total hip replacement. The lesion was 5.0cm × 3.4em × 3.2cm in size and lined by gray fiberous tissue which was shell easily off and filled with substance like white colloid. Hip joint space was disappeared and joint sub - luxated. Results The case was followed up for 8 months and there is no recurrence and the function was excellent. Conclusions Juxta - aticular bone cyst is a rare kind of quasi tumor disease which is difficult to diagnose at early stage and we recommend that MRI combined with surgery and pathology examination could complete the diagnose and treatment.
出处
《中国骨肿瘤骨病》
2005年第4期207-210,共4页
Chinse Journal Of Bone Tumor And Bone Disease
