The Analysis Of The Clinical Diagnosis And Treatment Of Bone Hemangioma

Objective:We collect and analyze these bone hemanioma cases admitted to our hospital, in order to study the current situation of the diagnosis and treatment of the bone hemangioma in our hospital.Methods:We collect22cases of bone hemangioma confirmed by pathological examination admitted by our hospital for January1st2000to December31st2011. All cases are followed up by telephone talk and clinic separately. By the incidence location, histological type, and surgical approach, these case are classified into different groups to analyze. The numeration data was tested by χ2test, while the measurement data by Levene test to variance homogeneity and by T test to the mean difference. The data was collected, analysis and turned to graphics by Excel2010, SPSS17.0and GraphPad Prism5.0software. Results:There are22cases in all, with12males (54.5%) and10females (45.5%), and the ratio of male to female is1.2:1. The patient-age-distribution is between19to62years old, with the median age48years old, mostly concentrated in the40-60age group (16cases.72.7%).A total of22cases, according to the classification of the incidence location, five cases of spinal group (accounting for22.73%: two cases of thoracic group, accounting for9.09%; lumbar group (three cases), accounting for13.64%);13cases of limbs group (accounting for59.09%:3patients of humerus group, accounting for13.64%;3cases of ulnar group, accounting for13.64%;3cases of femoral group, accounting for13.64%;2cases of tibia bone group, accounting for9.09%;1cases of fibula group, accounting for4.54%;1case of phalanx group, accounting for4.54%); four cases of trunk bone group (accounting for18.18%:2patients of pelvis group, accounting for9.09%;1cases of the clavicle group, accounting for4.54%;1cases of rib group, accounting for4.54%).All cases were underwent surgery, with one preoperative arteriography, zero arterial bolt, one preoperative fine needle aspiration(FNA), one preoperative open biopsy.The average surgery blood loss was1026.8mL, with minimal20mL and maximal5000mL.A total of22cases were collected, of which five cases were lost to be follow-up, and the remain17cases were effective follow-up (effective follow-up rate of77.3%).0cases dead,0cases recrudescent; symptomatic group (14cases) with symptoms completely disappeared postoperative in8cases, partly improved in6cases; asymptomatic group (three cases) with still asymptomatic post operation in two cases, and with joint movement disorder in one case.Conclusion:Bone hemangioma can be onset at all ages, but most concentrated in the40-60years old; gender differences is not obvious; the common anatomical sites are the spine, humerus, femur, pelvis. The main clinical manifestations are local swelling, pain, or only a lump, no obvious symptoms in most cases. Surgical bleeding is generally very much. Intracapsular resection or border resection can be chosen. The prognosis is mainly relevant with site of tumor incidence and tumor size.