CT引导下经皮髋臼成形术治疗髋关节转移性癌：4例报告

Treatment of metastatic carcinoma to the hip with CT-guided percutaneous acetabuloplasty: report of four cases.

作者信息

Sapkota Bishnu H, Hirsch Ariel E, Yoo Albert J, Hornicek Francis J, Raskin Kevin A, Rosenthal Daniel I, Growney Marion L, Hirsch Joshua A

机构信息

Department of Radiology, Division of Neurointerventional Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.

出版信息

J Vasc Interv Radiol. 2009 Apr;20(4):548-52. doi: 10.1016/j.jvir.2008.11.008. Epub 2008 Dec 27.

DOI:10.1016/j.jvir.2008.11.008

PMID:19112031

Abstract

Percutaneous acetabuloplasty (PA) is a promising treatment for painful metastatic lesions of the acetabulum. Four patients were treated with injection of the bone cement polymethylmethacrylate directly into the lesion. After the procedure, all four patients had improvement or relief of their pain and were able to resume weight-bearing activities. The procedure was well tolerated by each patient without morbidity. PA appears to be a reasonable palliative procedure for painful and fragile hips associated with metastatic bone disease.

摘要

经皮髋臼成形术（PA）是治疗髋臼疼痛性转移瘤的一种有前景的治疗方法。4例患者接受了将骨水泥聚甲基丙烯酸甲酯直接注射到病灶内的治疗。术后，所有4例患者的疼痛均有改善或缓解，并且能够恢复负重活动。每位患者对该手术耐受性良好，无并发症发生。对于与转移性骨病相关的疼痛且脆弱的髋关节，PA似乎是一种合理的姑息性手术。