[计算机断层扫描引导下骨样骨瘤的经皮切除术。38例中期随访]

[Percutaneous resection under computed tomography guidance of osteoid osteoma. Mid-term follow-up of 38 cases].

作者信息

Sans N, Morera-Maupome H, Galy-Fourcade D, Jarlaud T, Chiavassa H, Bonnevialle P, Giron J, Railhac J J

机构信息

Service central d'imagerie médicale, CHU Purpan, Toulouse.

出版信息

J Radiol. 1999 May;80(5):457-65.

PMID:10372324

Abstract

PURPOSE

To evaluate the mid-term outcome following CT-guided percutaneous resection of osteoid osteoma.

MATERIALS AND METHODS

38 patients who had been treated by CT-guided percutaneous resection were included. The mean follow-up of 3.7 years. Early and mid-term outcome and histology were analyzed.

RESULTS

Histological samples were adequate in 92% of cases and a diagnosis of osteoid osteoma was confirmed in 73.7% of cases. In 6 cases, the lesion was not an osteoid osteoma: 2 mucoid cysts, 1 benign fibrous dysplasia, 1 fibromucoid lesion, 1 focal osteochondritis, 1 osteomyelitis. Cure was achieved in 84.2% of patients. Minor transient complications occurred in 23.7% of cases. The most serious complications included: 1 intramuscular hematoma, 2 femoral fractures, and 1 case of S. aureus osteomyelitis.

CONCLUSION

This study confirms that CT-guided percutaneous resection of osteoid osteomas is effective and shows that other small lesions can also be treated using this technique.

摘要

目的

评估CT引导下经皮切除骨样骨瘤的中期疗效。

材料与方法

纳入38例接受CT引导下经皮切除治疗的患者。平均随访3.7年。分析早期和中期疗效及组织学情况。

结果

92%的病例组织学样本充足，73.7%的病例确诊为骨样骨瘤。6例病变并非骨样骨瘤：2例黏液囊肿、1例骨纤维异常增殖症、1例纤维黏液样病变、1例局灶性骨软骨炎、1例骨髓炎。84.2%的患者获得治愈。23.7%的病例出现轻微短暂并发症。最严重的并发症包括：1例肌内血肿、2例股骨骨折和1例金黄色葡萄球菌骨髓炎。