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冷却射频消融技术治疗骨痛肿瘤。

Cooled radiofrequency ablation technology for painful bone tumors.

机构信息

1. Operative Unit of Radiology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy. Via Francesco Sforza 35, 20122, Milano, Italy..

2. Postgraduation School in Radiodiagnostics, Università degli Studi di Milano, Milan, Italy Via Festa del Perdono 7, 20122, Milan, Italy.

出版信息

Acta Biomed. 2020 Sep 23;91(10-S):e2020007. doi: 10.23750/abm.v91i10-S.10271.

DOI:10.23750/abm.v91i10-S.10271
PMID:33245074
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8023082/
Abstract

Bone metastases are a common cause of cancer-related debilitating pain, especially when -localized in the vertebral column and not responsive to standard treatment. In such cases, various treatment options are available; among these is Radiofrequency, whose role has been rapidly growing over the past few years. In this study, we used the innovative Osteocool RF Ablation System (Medtronic) on a patient with a painful bone metastasis localized in the 5th lumbar vertebra, with encouraging results. The radiofrequency ablation of bone metastases with palliative aim represents an excellent treatment option, as it is a minimally invasive and safe procedure, and can be repeated multiple times.

摘要

骨转移是癌症相关衰弱性疼痛的常见原因，尤其是当它们位于脊柱且对标准治疗无反应时。在这种情况下，有多种治疗选择可用；其中包括射频消融术，其作用在过去几年中迅速发展。在这项研究中，我们在一名第 5 腰椎疼痛性骨转移患者中使用了创新的 Osteocool RF 消融系统（美敦力），取得了令人鼓舞的结果。以姑息为目的的骨转移射频消融术是一种极好的治疗选择，因为它是一种微创且安全的程序，并且可以重复多次。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa48/8023082/69edb3e9d9c9/ACTA-91-07-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa48/8023082/255bc6108fa1/ACTA-91-07-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa48/8023082/d2a4bcfbabe2/ACTA-91-07-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa48/8023082/69edb3e9d9c9/ACTA-91-07-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa48/8023082/255bc6108fa1/ACTA-91-07-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa48/8023082/d2a4bcfbabe2/ACTA-91-07-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa48/8023082/69edb3e9d9c9/ACTA-91-07-g003.jpg

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本文引用的文献

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AJNR Am J Neuroradiol. 2019 Oct;40(10):1786-1790. doi: 10.3174/ajnr.A6233. Epub 2019 Sep 26.
2
Palliation of bone metastases-exploring options beyond radiotherapy.骨转移的姑息治疗——探索放疗之外的选择。
Ann Palliat Med. 2019 Apr;8(2):168-177. doi: 10.21037/apm.2018.12.04. Epub 2019 Jan 2.
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Percutaneous management of bone metastases: state of the art, interventional strategies and joint position statement of the Italian College of MSK Radiology (ICoMSKR) and the Italian College of Interventional Radiology (ICIR).
局部麻醉下脊柱骨转移痛的双极射频消融术：患者体验和疼痛转归的可行性。
Medicina (Kaunas). 2021 Sep 15;57(9):966. doi: 10.3390/medicina57090966.
经皮骨转移瘤的处理：现状、介入策略及意大利肌肉骨骼放射学会（ICoMSKR）和意大利介入放射学会（ICIR）联合立场声明
Radiol Med. 2019 Jan;124(1):34-49. doi: 10.1007/s11547-018-0938-8. Epub 2018 Sep 6.
4
Low-power bipolar radiofrequency ablation and vertebral augmentation for the palliative treatment of spinal malignancies.低功率双极射频消融联合椎体增强治疗脊柱恶性肿瘤的姑息性治疗。
Int J Hyperthermia. 2018 Dec;34(8):1282-1288. doi: 10.1080/02656736.2017.1422557. Epub 2018 Jan 18.
5
Combined Vertebral Augmentation and Radiofrequency Ablation in the Management of Spinal Metastases: an Update.脊柱转移瘤的联合椎体强化与射频消融治疗：更新进展。
Curr Treat Options Oncol. 2017 Nov 16;18(12):74. doi: 10.1007/s11864-017-0516-7.
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