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本文报告18例动脉瘤样骨囊肿,原发性者12例,平均年龄21岁,继发性者6例.平均年龄36岁.继发于骨巨细胞瘤者囊腔内血压均高,囊壁组织有丝分裂指数高者易复发,原发性组中刮除植骨者7例,6例得到随访,无一例复发,而继发性组中刮除植骨者5例,除一例继发软骨母细胞瘤者外,余4例继发于骨巨细胞瘤者术后均复发.提示原发性者充分刮除植骨可以治愈,而继发于骨巨细胞瘤者如不能瘤段切除或局部切除,单纯刮陈植骨必须辅以冷冻疗法或放疗,方可减少复发.
This article reported 18 cases of aneurysmal bone cysts, primary 12 cases, mean age 21 years, 6 cases of secondary patients, mean age 36 years. secondary to giant cell tumor of bone cystic blood pressure are high, capsule Patients with high mitotic index in the wall tissue were prone to relapse. In the primary group, 7 patients were cured by scraping bone graft. 6 patients were followed up with no recurrence. In the secondary group, 5 patients were cured by scraping bone graft, except one case of secondary cartilage. Among the blastomas, the remaining 4 patients with secondary giant cell tumor of bone relapsed after surgery. This suggests that primary patients with adequate curettage of the bone graft can be cured, whereas patients with secondary giant cell tumors of bone may not be able to undergo tumor resection or Local resection, simple scraping bone graft must be supplemented with cryotherapy or radiotherapy in order to reduce recurrence.