Montañez-Heredia Elvira, Serrano-Montilla José, Merino-Ruiz María Luisa, Amores-Ramírez Francisco, Villalobos-Martín José
Department of Orthopaedic Surgery and Traumatology, University Hospital Virgen de la Victoria, Málaga, Spain.
Acta Orthop Belg. 2009 Feb;75(1):75-80.
Osteoid osteoma is a benign bone tumour; its main symptom is pain, which is sometimes resistant to analgesic or anti-inflammatory medication. The surgical treatment consists of en bloc excision or curettage of the lesion. Several alternative methods have been proposed, among which CT guided-percutaneous radiofrequency ablation. We report on ten patients who were diagnosed clinically and radiologically as presenting an osteoid osteoma and were treated with this technique, with more than two years follow-up. Results were uniformly excellent. The pain was relieved and the rate of post-operative complications was very low. We recommend percutaneous CT-guided radiofrequency ablation for the treatment of this lesion.
骨样骨瘤是一种良性骨肿瘤；其主要症状是疼痛，有时对镇痛或抗炎药物有抵抗性。手术治疗包括整块切除或刮除病变。已经提出了几种替代方法，其中包括CT引导下经皮射频消融术。我们报告了10例经临床和放射学诊断为骨样骨瘤并接受该技术治疗的患者，随访时间超过两年。结果均非常好。疼痛得到缓解，术后并发症发生率很低。我们建议采用CT引导下经皮射频消融术治疗这种病变。
