Treatment of aneurysmal bone cyst in children by percutaneous injection of calcitonin and methylprednase
10.3969/j.issn.1005-6483.20240740
- VernacularTitle:经皮穿刺注射降钙素与甲强龙治疗儿童动脉瘤样骨囊肿
- Author:
Yong LI
1
;
Zhu WEN
;
Wulan MAI
;
Jun LEI
;
Lin CAI
;
Zhouming DENG
Author Information
1. 442000 湖北省十堰市太和医院骨科(湖北医药学院附属医院);武汉大学中南医院骨科
- Publication Type:Journal Article
- Keywords:
aneurysmal bone cyst;
percutaneous puncture;
methylprednisolone;
calcitonin;
children
- From:
Journal of Clinical Surgery
2025;33(7):750-753
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effect of percutaneous injection of calcitonin and methylprednone in the treatment of aneurysmal bone cyst in children.Methods From June 2020 to March 2023,19 patients with aneurysmal bone cysts were admitted and all were treated with percutaneous puncture injection of calcitonin and methylprednisolone.After percutaneous puncture biopsy,200 iu of calcitonin and 120 mg of methylprednone were injected into the cyst of aneurysmal bone cyst.Compare the volume of the cyst cavity and the thinnest cortical bone thickness around the cyst cavity before and after the operation.All patients were followed up,while preoperative and postoperative tumor cavity and the thinnest peritumor cortical thickness were compared.Results 19 patients were followed up for an average of 16 months(12-52 months).Of the 19 patients,17 were effective,the effective rate was 89.5％,and no serious complications occurred in all cases.At the last follow-up,the volume of the tumor cavity was significantly lower than that before surgery[(37.05±21.17)cm3,(110.95±45.67)cm3],and the difference was statistically significant(P＜0.05).The average thinnest cortical bone thickness around the tumor cavity was(0.71±0.37)mm before surgery and(1.87±0.60)mm after surgery.The difference was statistically significant(P＜0.05).Conclusion Percutaneous injection of calcitonin and methylprednone in the treatment of aneurysmal bone cysts in children is minimally invasive,safe and effective.It can be used as the first-line treatment for aneurysmal bone cyst in children.
