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目的探讨Surgiflo可吸收凝胶联合无水酒精治疗儿童动脉瘤样骨囊肿的临床疗效.方法选自2011年2月至2015年5月,我院骨科收治16例儿童干骺端动脉瘤样骨囊肿,其中男10例,女6例.年龄3～13岁,平均8.3岁.发病部位:肱骨近端7例,胫骨近端6例,股骨远端3例.所有患儿均为初次治疗,均接受经皮穿刺Suriflo可吸收凝胶联合无水酒精注射治疗.术后采用Neer&Chigira X线片骨囊肿愈合评价标准进行评估,记录疼痛VAS评分及瘤腔容积、瘤腔与骺板的最小距离、瘤腔周围骨皮质最薄厚度.结果14例接受1次手术,另外2例进行第2次相同手术.末次随访时的VAS评分0～1分,平均0.2分.末次随访时的瘤腔容积、瘤腔与骺板的最小距离及瘤腔周围骨皮质最薄厚度与术前比较,差异有统计学意义(t=16.883,P＜0.01;t=6.488,P＜0.01;t=17.303,P＜0.01).根据Neer&Chigira的X线片骨囊肿愈合评价标准,所有16例均为III级,有效率100％.结论Surgiflo可吸收凝胶联合无水酒精经皮穿刺注射治疗儿童动脉瘤样骨囊肿,具有安全、有效、微创的优点,可能是一种值得推荐的替代方法.“,”Objective To evaluate effects of Surgiflo and absolute alcohol in the treatment of pediatric aneurysmal bone cyst.Methods Between February 2011 and May 2015, 16 children with aneurysmal bone cyst were treated in PLA 180th hospital.Ten cases were male, and 6 cases were female.The average age was 8.3 years (range:3-13 years).There were 7 cases involving the proximal humerus, 6 cases involving the proximal tibia, and3 cases involving the distal femur.All children were treated primarily, and underwent percutaneous injection with surgiflo and absolute alcohol.Postoperatively, Criteria of Neer&Chigira was used to evaluate effects.VAS scores, tumorous volumn, minimal distance between the tumor and physis, thickness of the thinnest cortex were recorded.Results Fourteen cases underwent operation once, and 2 cases underwent operation twice.The average VAS score was0.2 (range:0-1).There were significant differences preoperation and postoperation in tumorous volumn, minimal distance between the tumor and physis, thickness of the thinnest cortex (t=16.883, P＜0.01;t=6.488, P＜0.01;t=17.303, P＜0.01).According to Criteria of Neer&Chigira, all cases were in level III, and effective rate was 100％.Conclusions Percutaneous injection of surgiflo and absolute alcohol is safe, effective and minimal invasive in the treatment of pediatric aneurysmal bone cysts.It may be a recommended alternative therapy.