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骨盆腔的生物力学及其对介入肿瘤学中巩固性治疗的影响。

Biomechanics of the Osseous Pelvis and Its Implication for Consolidative Treatments in Interventional Oncology.

机构信息

Department of Interventional Radiology, Nouvel Hôpital Civil, 1, place de l'hôpital, 67096, Strasbourg Cedex, France.

UMR 7357, CNRS, ICube, INSA Strasbourg, Université de Strasbourg, 67091, Strasbourg, France.

出版信息

Cardiovasc Intervent Radiol. 2020 Nov;43(11):1589-1599. doi: 10.1007/s00270-020-02624-0. Epub 2020 Aug 26.

Abstract

The osseous pelvis is a frequent site of metastases. Alteration of bone integrity may lead to pain but also to functional disability and pathological fractures. Percutaneous image-guided minimally invasive procedures, such as cementoplasty and screw fixation, have emerged as a viable option to provide bone reinforcement and fracture fixation, as stand-alone or combined techniques. Understanding the biomechanics of the osseous pelvis is paramount to tailor the treatment to the clinical situation. The purpose of the present review is to present the biomechanics of the osseous pelvis and discuss its implication for the choice of the optimal consolidative treatment.

摘要

骨盆腔是转移的常见部位。骨完整性的改变可能导致疼痛,也可能导致功能障碍和病理性骨折。经皮影像引导下微创介入治疗,如骨水泥成形术和螺钉固定术,已经成为一种可行的选择,可以提供骨强化和骨折固定,单独或联合使用。了解骨盆腔的生物力学对于根据临床情况定制治疗方案至关重要。本综述的目的是介绍骨盆腔的生物力学,并讨论其对选择最佳巩固治疗方法的影响。

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