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射频消融治疗骨肿瘤后发生髋部骨折:两例报告。

Hip fracture after radiofrequency ablation therapy for bone tumors: two case reports.

机构信息

Department of Orthopedic Surgery, University Medical Center Groningen, Postbus 30.001, 9700, Groningen, The Netherlands.

出版信息

Skeletal Radiol. 2010 Nov;39(11):1139-43. doi: 10.1007/s00256-010-1013-2. Epub 2010 Aug 29.

DOI:10.1007/s00256-010-1013-2
PMID:20803201
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2939335/
Abstract

Radiofrequency ablation (RFA) has become a valuable therapeutic modality in cancer treatment over the last decade. In orthopedic surgery, RFA is used for the treatment of benign bone tumors and bone metastases. Complications are rare and, to our knowledge, bone fracture as a complication due solely to RFA has not been reported to date. In this report we describe two patients with a fracture in the calcar region of the femur as a complication of RFA treatment for bone malignancies. Since RFA is applied increasingly often, it is important to report this risk of fracture as a complication of treatment of lesions in the femoral calcar.

摘要

在过去的十年中,射频消融 (RFA) 已成为癌症治疗中一种有价值的治疗方式。在骨科手术中,RFA 用于治疗良性骨肿瘤和骨转移瘤。并发症很少见,据我们所知,由于 RFA 导致的单纯性骨折作为一种并发症尚未见报道。在本报告中,我们描述了两名股骨距区骨折患者,这是骨恶性肿瘤 RFA 治疗的并发症。由于 RFA 的应用越来越多,因此报告股骨距区病变治疗中骨折这一并发症的风险很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1267/2939335/c0c5a79551fa/256_2010_1013_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1267/2939335/a163b1602622/256_2010_1013_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1267/2939335/c34a424628a4/256_2010_1013_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1267/2939335/f31b7a38e0a9/256_2010_1013_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1267/2939335/f8c6f897c476/256_2010_1013_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1267/2939335/0e3354abfcc7/256_2010_1013_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1267/2939335/e6cccf11e356/256_2010_1013_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1267/2939335/378b9a371bf7/256_2010_1013_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1267/2939335/34d9c80d2c08/256_2010_1013_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1267/2939335/c0c5a79551fa/256_2010_1013_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1267/2939335/a163b1602622/256_2010_1013_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1267/2939335/c34a424628a4/256_2010_1013_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1267/2939335/f31b7a38e0a9/256_2010_1013_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1267/2939335/f8c6f897c476/256_2010_1013_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1267/2939335/0e3354abfcc7/256_2010_1013_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1267/2939335/e6cccf11e356/256_2010_1013_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1267/2939335/378b9a371bf7/256_2010_1013_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1267/2939335/34d9c80d2c08/256_2010_1013_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1267/2939335/c0c5a79551fa/256_2010_1013_Fig9_HTML.jpg

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本文引用的文献

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2
Radiofrequency ablation of bone metastases induces long-lasting palliation in patients with untreatable cancer.骨转移瘤的射频消融术可使无法治疗的癌症患者获得持久的姑息疗效。
Singapore Med J. 2008 Jul;49(7):565-70.
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Osteoid osteoma treated with percutaneous radiofrequency ablation: MR imaging follow-up.经皮射频消融治疗骨样骨瘤:磁共振成像随访
经皮热消融联合骨水泥成形术治疗癌性骨转移的镇痛效果
J Bone Oncol. 2019 Nov 5;19:100266. doi: 10.1016/j.jbo.2019.100266. eCollection 2019 Dec.
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In vivo effects of radiofrequency ablation on long bones and the repair process in swine models.射频消融对猪模型长骨的体内效应及修复过程
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The Effect of Irreversible Electroporation on the Femur: Experimental Study in a Rabbit Model.不可逆电穿孔对股骨的影响:兔模型实验研究
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Case report: late subtrochanteric fracture post radiofrequency ablation of osteoid osteoma.病例报告:骨样骨瘤射频消融术后晚期转子下骨折
Clin Cases Miner Bone Metab. 2014 May;11(2):145-8.
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Percutaneous long bone cementoplasty of the limbs: experience with fifty-one non-surgical patients.经皮肢体长骨骨水泥成形术:51 例非手术患者的经验。
Eur Radiol. 2014 Dec;24(12):3059-68. doi: 10.1007/s00330-014-3357-9. Epub 2014 Aug 6.
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Thermal influence of radiofrequency ablation for bone: an experimental study in normal rabbit bone.射频消融对骨的热影响:正常兔骨的实验研究。
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Case report: Third-degree skin and soft tissue burn after radiofrequency ablation of an osteoid osteoma guided through a triple-crown biopsy cannula.病例报告:经三冠活检套管引导对骨样骨瘤进行射频消融术后出现三度皮肤和软组织烧伤。
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