王斌;邱勇;熊进;俞杨;朱泽章;

• 1:南京大学医学院附属鼓楼医院脊柱外科

摘要(Abstract)：

[目的]探讨脊柱骨样骨瘤伴脊柱侧凸的诊断及治疗方式的选择,并分析其治疗转归及疗效。[方法]回顾研究1997年2月～2006年12月收治脊柱骨样骨瘤9例,年龄8～21岁(平均15.2岁),其中胸段2例,胸腰段2例,腰段5例。所有病人均以脊柱侧凸为首诊,同时伴有脊柱区疼痛,Cobb’s角为10°～30°(平均22°)。1例因侧凸度数较大为30°,躯干倾斜明显,而当即行瘤巢切除术,1例8岁患者,因躯干倾斜明显,在CT证实后行手术切除。1例诊断不明者亦一期进行了手术治疗。6例病人接受了试验性口服阿斯匹林和非甾体类消炎镇痛药治疗,1个月后疼痛均明显缓解,其中3例轻度脊柱侧凸无明显进展,继续服用阿斯匹林和非甾体类消炎镇痛药后疼痛完全消失,停药后无复发,未予手术。另3例停止服药疼痛症状复发,予以手术切除瘤巢。[结果]所有手术患者术后均病理证实为骨样骨瘤。手术患者术后疼痛症状缓解;脊柱侧凸患者中5例侧凸消失或度数小于15°,4例侧凸成为结构性,在支具控制下,侧凸度数减轻。[结论]青少年腰背痛或者疼痛性脊柱侧凸需考虑脊柱骨样骨瘤的可能。薄层CT横扫是最有效和最有助于定位的方法。脊椎骨样骨瘤病人可先行药物治疗,严格随访,如有需要,再行手术切除。

关键词(KeyWords)： 骨样骨瘤;脊柱侧凸;薄层CT

Abstract:

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作者(Author): 王斌;邱勇;熊进;俞杨;朱泽章;

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参考文献(References)：

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