Welch Brian T, Welch Timothy J
Mayo Medical School, Rochester, MN 55905, USA.
Tech Vasc Interv Radiol. 2011 Sep;14(3):118-23. doi: 10.1053/j.tvir.2011.02.003.
Percutaneous image-guided ablation has become a standard of practice and one of the primary modalities for treatment of benign bone tumors. Ablation is most commonly used to treat osteoid osteomas but may also be used in the treatment of chondroblastomas, osteoblastomas, and giant cell tumors. Percutaneous image-guided ablation of benign bone tumors carries a high success rate (>90% in case series) and results in decreased morbidity, mortality, and expense compared with traditional surgical methods. The ablation technique most often applied to benign bone lesions is radiofrequency ablation. Because the ablation technique has been extensively applied to osteoid osteomas and because of the uncommon nature of other benign bone tumors, we will primarily focus this discussion on the percutaneous ablation of osteoid osteomas.
经皮影像引导下消融已成为一种标准治疗方法，也是治疗良性骨肿瘤的主要方式之一。消融最常用于治疗骨样骨瘤，但也可用于治疗成软骨细胞瘤、成骨细胞瘤和巨细胞瘤。与传统手术方法相比，经皮影像引导下消融良性骨肿瘤成功率高（病例系列报道中>90%），且可降低发病率、死亡率和费用。最常用于良性骨病变的消融技术是射频消融。由于消融技术已广泛应用于骨样骨瘤，且其他良性骨肿瘤较为少见，因此我们将主要围绕骨样骨瘤的经皮消融展开讨论。
