Karagöz Erdal, Özel Deniz, Özkan Fuat, Özel Betül Duran, Özer Özgur, Coşkun Zafer Ünsal
Department of Radiology, Okmeydani Education and Research Hospital, Istanbul, Turkey.
Pol J Radiol. 2016 Jun 22;81:295-300. doi: 10.12659/PJR.896475. eCollection 2016.
The aim of this retrospective study is to determine our experience of technique success rate, complications and clinical results in long term follow up for computed tomography (CT)-guided radiofrequency ablation [RA] therapy for osteoid osteoma (OO).
MATERIAL/METHODS: We performed RA therapy to 18 patients with OO referred to interventional radiology from other clinics primarily from orthopedics; between January 2011 to May 2014. Daytime and nighttime pain intensity of 18 patients was noted according to visual analog scale (VAS). After procedure pain intensity was compared with before one. We also discussed other factors can affect it.
All procedures were completed technically successful for all patients [100%]. We did not experience any major complication or mortality. However we had 3 minor complications. Pain came back in 1 patient after 5 months from procedure and it was considered as recurrence. Dramatic pain intensity fall was seen in patients after procedure, both daytime and nighttime. However we did not find and statistically significant change in comparison of pain intensity reduce and time needed to return back to routine life when using patients demographic data and lesion size.
CT guided RA therapy of OO is minimally invasive, effective and secure procedure.
这项回顾性研究的目的是确定我们在计算机断层扫描（CT）引导下对骨样骨瘤（OO）进行射频消融（RA）治疗的长期随访中的技术成功率、并发症及临床结果。
材料/方法：2011年1月至2014年5月期间，我们对主要从骨科等其他科室转诊至介入放射科的18例骨样骨瘤患者进行了RA治疗。根据视觉模拟量表（VAS）记录18例患者白天和夜间的疼痛强度。术后将疼痛强度与术前进行比较。我们还讨论了其他可能影响疼痛强度的因素。
所有患者的所有手术在技术上均成功完成[100%]。我们未经历任何重大并发症或死亡。然而，我们有3例轻微并发症。1例患者术后5个月疼痛复发，被视为复发。术后患者白天和夜间的疼痛强度均显著下降。然而，在使用患者人口统计学数据和病变大小时，我们未发现疼痛强度降低与恢复正常生活所需时间之间存在统计学上的显著差异。
CT引导下的骨样骨瘤RA治疗是一种微创、有效且安全的手术。
