[1]王玉涛,汪建华,王海涛,等.CT引导射频消融术治疗股骨颈骨样骨瘤六例[J].介入放射学杂志,2014,(09):809-812.
 WANG Yu tao,WANG Jian hua,WANG Hai tao,et al.CT guided radiofrequency ablation for the treatment of osteoid osteoma in femoral neck: preliminary experience in 6 cases[J].journal interventional radiology,2014,(09):809-812.
点击复制

CT引导射频消融术治疗股骨颈骨样骨瘤六例 ()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2014年09期
页码:
809-812
栏目:
临床研究
出版日期:
2014-09-25

文章信息/Info

Title:
CT guided radiofrequency ablation for the treatment of osteoid osteoma in femoral neck: preliminary experience in 6 cases
作者:
王玉涛 汪建华 王海涛 于志海 涂 灿 左长京 田建明
Author(s):
WANG Yu tao WANG Jian hua WANG Hai tao YU Zhi hai TU Can ZUO Chang jing TIAN Jian ming.
Department of Radiology, Affiliated Hospital, School of Medicine, Ningbo University, Ningbo, Zhejiang Province 315020, China
关键词:
【关键词】 骨瘤骨样 股骨颈 导管消融术 穿刺术
文献标志码:
A
摘要:
【摘要】 目的 探讨CT引导下应用射频消融术(RFA)治疗股骨颈骨样骨瘤的可行性、安全性,并评估其疗效。方法 对6例股骨颈骨样骨瘤患者采用CT引导下经皮穿刺RFA术治疗。患者均以髋关节疼痛症状为主,病程1个月 ~ 2年,平均8个月。手术在腰麻下进行,术中于CT引导下应用直径3.5 ~ 4.0 mm穿刺针穿入瘤巢中心,用骨活检针刮取肿瘤组织送病理学检查。再将有效治疗直径1.5 ~ 2.0 cm的射频电极准确插入瘤巢中心,治疗温度90℃持续6 min。术后以疼痛视觉拟评分(VAS)作为临床疗效评定参数。手术前后行MRI检查,进行影像学对比。结果 术后3 d疼痛不同程度缓解,术后1周内均能下床行走。VAS评分明显降低,差异有统计学意义(P < 0.01)。术中、术后均未见严重并发症,随访期间内无复发。结论 CT引导下经皮穿刺RFA治疗股骨颈骨样骨瘤是一种安全、有效的微创方法,术后并发症少,临床疗效良好。

参考文献/References:

[1] Allen SD, Saifuddin A. Imaging of intra articular osteoid osteoma[J]. Clin Radiol, 2003, 58: 845 852.
[2] 曾泳瀚, 程晓光, 栾贻新, 等. 股骨颈关节囊内骨样骨瘤的临床及影像特点[J]. 中华放射学杂志, 2012, 46: 1006 1009.
[3] Ghanem I. The management of osteoid osteoma: updates and controversies[J]. Curr Opin Pediatr, 2006, 18: 36 41.
[4] Ebrahim FS, Jacobson JA, Lin J, et al. Intraarticular osteoid osteoma: sonographic findings in three patients with radiographic, CT, and Mr imaging correlation[J]. AJR, 2001, 177: 1391 1395.
[5] 何淑玲, 丁晓毅. 股骨颈骨样骨瘤的临床与MRI表现特点分析[J]. 复旦学报: 医学版, 2009, 36: 88 92.
[6] 孔令懿, 于爱红, 钱占华, 等. 股骨颈常见骨肿瘤和肿瘤样病变的CT诊断[J]. 医学影像学杂志, 2013, 23: 773 776.
[7] Eggel Y, Theumann N, Lüthi F. Intra articular osteoid osteoma of the knee: clinical and therapeutical particularities[J]. Joint Bone Spine, 2007, 74: 379 381.
[8] Xiao J, Lam SK, Shi Z, et al. Osteoid osteoma of the femoral neck causes deformity in children: a case report[J]. Hip Int, 2011, 21: 490 494.
[9] Goto T, Shinoda Y, Okuma T, et al. Administration of nonsteroidal anti inflammatory drugs accelerates spontaneous healing of osteoid osteoma[J]. Arch Orthop Trauma Surg, 2011, 131: 619 625.
[10] 蔡郑东, 郑龙坡, 左长京, 等. CT引导下经皮穿刺骨样骨瘤射频消融术[J]. 中华骨科杂志, 2008, 28: 122 126.
[11] 张丽云, 陈克敏, 王忠敏. 骨肿瘤射频消融治疗研究进展[J]. 介入放射学杂志, 2009, 18: 395 397.
[12] Samaha EI, Ghanem IB, Moussa RF, et al. Percutaneous radiofrequency coagulation of osteoid osteoma of the “Neural Spinal Ring”[J]. Eur Spine J, 2005, 14: 702 705.
[13] Mahnken AH, Tacke JA, Wildberger JE, et al. Radiofrequency ablation of osteoid osteoma: initial results with a bipolar ablation device[J]. J Vasc Interv Radiol, 2006, 17: 1465 1470.
[14] 纪经涛, 胡永成. 骨样骨瘤的微创治疗[J]. 中华骨科杂志, 2008, 28: 163 166.

备注/Memo

备注/Memo:
(收稿日期:2013-10-25)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2014-09-18