| 摘要: |
| 目的：探究刮除植骨联合弹性髓内针治疗儿童肱骨近端单纯性骨囊肿临床和影像学结果。；方法：通过回顾性分析浙江大学医学院附属儿童医院2015年1月到2022年12月收治的肱骨近端单纯性骨囊肿患儿的临床资料，根据是否使用了弹性髓内针分为内固定组和无内固定组，比较分析了性别、年龄、侧别、囊肿大小、囊肿分期、是否合并病理性骨折，病理性骨折愈合时间、上肢运动恢复时间、随访时间以及术后并发症。采用改良NEER分型评价囊肿愈合情况，MSTS评分评价上肢功能；结果：两组患儿在性别、侧别、囊肿大小、囊肿分期、是否合并病理性骨折、病理性骨折愈合时间、MSTS评分、随访时间、术后并发症比较无统计学差异（p＞0.05），而在年龄、囊肿愈合情况、上肢运动恢复时间存在统计学差异（p＜0.05）,内固定组获得更好的囊肿愈合和更快的上肢运动恢复时间。；结论：刮除植骨是治疗儿童肱骨近端单纯性骨囊肿的有效手段之一，联合弹性髓内针内固定能获得更好的临床和影像学结果。 |
| 关键词: 儿童 肱骨近端 单纯性骨囊肿 刮除植骨 髓内针 囊肿愈合 |
| DOI： |
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| Therapeutic Effect Analysis of Curettage and Bone Grafting Combined with Elastic Stable Intramedullary Nailing for Proximal Humerus Unicameral Bone Cyst in Children |
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Niu Xiaofen1,2,3, Shen Yiguo1,2,3, Li Haibing1,2,3
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1.Children'2.'3.s Hospital,Zhejiang University School of Medicine
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| Abstract: |
| Objective:Outcomes of Curettage and Bone Grafting Combined with Elastic Stable Intramedullary Nailing for Proximal Humerus Unicameral Bone Cyst in Children: A Clinical and Radiological Analysis.Method:By retrospectively analyzing the clinical data of children with proximal humeral simple bone cysts admitted to the Children's Hospital of Zhejiang University School of Medicine between January 2015 and December 2022, patients were divided into an internal fixation group (using elastic stable intramedullary nailing, ESIN) and a non-internal fixation group. The following parameters were comparatively analyzed: gender, age, affected side, cyst size, cyst stage, presence of pathological fracture, pathological fracture healing time, upper limb motor function recovery time, follow-up duration, and postoperative complications. Cyst healing was evaluated using the modified Neer classification, and upper limb function was assessed using the MSTS score.Result:There were no statistically significant differences between the two groups regarding gender, affected side, cyst size, cyst stage, presence of pathological fracture, pathological fracture healing time, MSTS score, follow-up duration, or postoperative complications (p > 0.05). However, statistically significant differences were observed in terms of age, cyst healing status, and upper limb motor recovery time (p < 0.05). The internal fixation group achieved superior cyst healing and a shorter upper limb motor recovery time.Conclusion:Curettage and bone grafting is one of the effective treatments for pediatric proximal humeral simple bone cysts, and the combination with elastic intramedullary nailing can achieve better clinical and radiological outcomes. |
| Key words: Children Proximal Humerus Simple bone cyst Curettage and Bone Grafting Elastic Stable Intramedullary Nailing Cyst Healing |