王桐 贾惠军 董博

    [摘要] 动脉瘤样骨囊肿是一种膨胀性、出血性、多房性囊肿，为良性单发性骨肿瘤，具有局部侵袭性。早期临床表现无特异性，患者常以疼痛就诊。笔者查阅文献发现近10年来少见有跟骨动脉瘤样骨囊肿发病报道。近期1例左跟骨动脉瘤样骨囊肿患者采用了跟骨病灶刮除+取髂骨植骨手术治疗，通过这一案例得出了以下结论：跟骨动脉瘤样骨囊肿发病率低，临床易误诊，病理学检查为其确诊的主要依据，影像学检查可在其确诊前提供更高的诊断依据，根据患者的发病情况，带或不带植骨的刮除术为目前主要的治疗方法。本病术后易复发，因此术后定期随诊显得异常重要，这对成功治疗本病有着极大的意义。

    [关键词] 跟骨;骨囊肿;动脉瘤样;病例报告

    [中图分类号] R681.8 ? ? ? ? ?[文献标识码] A ? ? ? ? ?[文章编号] 1673-7210(2020)08(b)-0185-03

    [Abstract] Aneurysmal bone cyst is a kind of swelling， bleeding and multilocular cyst. It is a benign single bone tumor with local invasion. Early clinical manifestations are not specific， patients often see the doctor for pain. The author reviews the literature and find that there were rare reports of aneurysmal bone cysts in the calcaneus in the past 10 years. Recently， one case of left calcaneal aneurysmal bone cyst patients are treated with curettage of calcaneus disease plus iliac bone grafting. Through this case， the following conclusions are drawn： the incidence of calcaneal aneurysmal bone cyst is low and easy to be misdiagnosed clinically. Pathological examination is the main basis for its diagnosis ......