Department of Radiology, Hôpital Tenon, 4, rue de la Chine, 75020 Paris, France.
Department of Interventional Radiology, Gustave-Roussy cancer center, 114, rue Edouard-Vaillant, 94805 Villejuif, France.
Diagn Interv Imaging. 2017 Sep;98(9):645-650. doi: 10.1016/j.diii.2017.06.014. Epub 2017 Jul 27.
According to the literature, prophylactic consolidation of lytic metastasis located in the proximal femur is recommended when the Mirels' score is above 8. Osteoplasty alone provides inadequate consolidation but various devices have been used in association for better consolidation. The aim of this review is to detail the augmented osteoplasty techniques published in the literature and to report their safeties and their efficacies to prevent pathological fracture of the proximal femur. A Pubmed research found 5 studies that evaluated augmented osteoplasty of the proximal femur in cancer patients. All devices demonstrate adequate safety and low rate of secondary pathological fractures.
根据文献，当 Mirels 评分高于 8 分时，建议对位于股骨近端的溶骨性转移进行预防性巩固。单纯的骨成形术不能提供充分的巩固，但已经使用了各种设备来进行更好的巩固。本综述的目的是详细描述文献中报道的增强性骨成形术技术，并报告其预防股骨近端病理性骨折的安全性和疗效。通过 Pubmed 研究发现了 5 项评估癌症患者股骨近端增强性骨成形术的研究。所有的设备都表现出足够的安全性和较低的继发性病理性骨折发生率。
