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经皮计算机断层扫描引导下射频消融术在骨样骨瘤治疗中的作用

Role of percutaneous computed tomography-guided radiofrequency ablation in treatment of osteoid osteoma.

作者信息

Upadhyay Ajay R, Desai Nikunj Chandrakant, Vaghela Digish U

机构信息

Department of Radiodiagnosis, GCS Medical College, Hospital and Research Center, Ahmedabad, Gujarat, India.

Department of Radiodiagnosis, B. J. Medical College and New Civil Hospital, Ahmedabad, Gujarat, India.

出版信息

South Asian J Cancer. 2017 Oct-Dec;6(4):139-140. doi: 10.4103/sajc.sajc_58_17.

DOI:10.4103/sajc.sajc_58_17
PMID:29404285
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5763617/
Abstract

AIM

The aim of the study was to evaluate efficacy of percutaneous computed tomography (CT)-guided radiofrequency ablation (RFA) of nidus in osteoid osteoma (OO).

MATERIALS AND METHODS

RFA was performed on fifty patients with clinically and radiologically diagnosed OO. RFA was done in the department of radio-diagnosis in our institute (a tertiary care providing institute in Ahmedabad, Western India). Ablation was performed by putting at an electrode tip (3-5 mm) into nidus under CT guidance with targeted temperature of 90°C for 3 min.

RESULTS

All procedures were technically successful. No immediate major or minor complications were observed. Complete clinical success was achieved in 46 patients. Only four patients required second intervention.

CONCLUSION

Our experience indicates a 98% success rate. No major complications were noted.

摘要

目的

本研究旨在评估经皮计算机断层扫描(CT)引导下对骨样骨瘤(OO)瘤巢进行射频消融(RFA)的疗效。

材料与方法

对50例临床及影像学诊断为骨样骨瘤的患者进行射频消融。射频消融在我院放射诊断科(印度西部艾哈迈达巴德的一家三级医疗服务机构)进行。在CT引导下将电极尖端(3 - 5毫米)置于瘤巢内,以90°C的目标温度进行3分钟的消融。

结果

所有手术在技术上均获成功。未观察到即刻的严重或轻微并发症。46例患者取得了完全的临床成功。仅4例患者需要二次干预。

结论

我们的经验表明成功率为98%。未发现严重并发症。

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本文引用的文献

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Eur J Radiol. 2012 Nov;81(11):e1002-6. doi: 10.1016/j.ejrad.2012.07.010. Epub 2012 Aug 15.
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CT-guided radiofrequency ablation of osteoid osteoma in the long bones of the lower extremity.CT引导下对下肢长骨骨样骨瘤进行射频消融术。
World J Radiol. 2012 Jun 28;4(6):278-82. doi: 10.4329/wjr.v4.i6.278.
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Thermal ablation of osteoid osteoma: overview and step-by-step guide.
骨样骨瘤的热消融治疗:概述及分步指南。
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Percutaneous radiofrequency ablation for osteoid osteoma: How we do it.经皮射频消融治疗骨样骨瘤:我们的操作方法。
Indian J Radiol Imaging. 2009 Feb;19(1):36-42. doi: 10.4103/0971-3026.44523.
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Computed-tomography-guided percutaneous radiofrequency thermoablation for the treatment of osteoid osteoma-2 to 5 years follow-up.计算机断层扫描引导下经皮射频热消融治疗骨样骨瘤——2至5年随访
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