Service de radiologie, hôpital Lariboisière, université Paris-Diderot, AP-HP, 2, rue Ambroise-Paré, 75010 Paris, France.
Service de neuroradiologie, hôpital de la Pitié, université Pierre-et-Marie-Curie, AP-HP, 75013 Paris, France.
Joint Bone Spine. 2018 Mar;85(2):191-199. doi: 10.1016/j.jbspin.2017.05.005. Epub 2017 May 9.
Advances in cancer treatments have lengthened the survival of patients with bone metastases. Optimal control of the symptoms and prevention of the complications associated with bone metastases improve quality of life. Achieving these goals increasingly involves interventional radiology procedures. These include bone consolidation and analgesic techniques such as cementoplasty (vertebroplasty at the spine); percutaneous implantation of screws, metallic reinforcement devices, or intraosseous implants; and tumor destruction using thermal methods (radiofrequency and cryotherapy), chemicals (alcohol), and drugs (chemoembolization), which have fewer indications. Here, these techniques and their indications are reviewed.
癌症治疗的进展延长了骨转移患者的生存期。最佳控制症状和预防与骨转移相关的并发症可提高生活质量。这些目标的实现越来越多地涉及介入放射学程序。这些程序包括骨强化和镇痛技术，如骨水泥成形术（脊柱椎体成形术）；经皮植入螺钉、金属增强装置或骨内植入物；以及使用热法（射频和冷冻疗法）、化学物质（酒精）和药物（化疗栓塞）破坏肿瘤，这些方法的适应证较少。本文回顾了这些技术及其适应证。
