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微波消融治疗骨样骨瘤:两例报告。

Osteoid Osteoma Treatment with Microwave Ablation: A Report of Two Cases.

机构信息

Department of Orthopedic Surgery, Good Samaritan Regional Medical Center, Corvallis, OR 97330, USA.

Western University of Health Sciences COMP-NW, Lebanon, OR 97355, USA.

出版信息

Medicina (Kaunas). 2021 May 11;57(5):470. doi: 10.3390/medicina57050470.

DOI:10.3390/medicina57050470
PMID:34064587
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8151136/
Abstract

Osteoid osteomas are one of the most common bone tumors. Although benign in nature, they can cause significant pain and distress to the afflicted patient. The main goal of treatment is to relieve pain. Historically, these tumors were treated with nonsteroidal anti-inflammatory drugs (NSAIDs) or surgery. Percutaneous ablative techniques have since gained popularity because of their efficacy and low risk profiles. Radiofrequency ablation was the first of these technologies used in the treatment of these tumors. More recently, microwave ablation has gained popularity. However, the literature is sparse regarding the safety and efficacy of this treatment. Here, we discuss our experience with microwave ablation in the treatment of osteoid osteomas in two patients and review the current literature on this technique. Microwave ablation in the treatment of osteoid osteoma seems to be a safe and effective treatment for this tumor.

摘要

骨样骨瘤是最常见的骨肿瘤之一。尽管性质为良性,但它们会给患者带来严重的疼痛和不适。治疗的主要目标是缓解疼痛。历史上,这些肿瘤曾用非甾体抗炎药(NSAIDs)或手术治疗。由于疗效好、风险低,经皮消融技术逐渐流行起来。射频消融是最早用于治疗此类肿瘤的技术之一。最近,微波消融也越来越受欢迎。然而,关于这种治疗方法的安全性和疗效的文献还很少。在这里,我们讨论了我们在两名患者中使用微波消融治疗骨样骨瘤的经验,并回顾了该技术的现有文献。微波消融治疗骨样骨瘤似乎是治疗这种肿瘤的一种安全有效的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e19e/8151136/79bc69102740/medicina-57-00470-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e19e/8151136/b3e1a1f1298b/medicina-57-00470-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e19e/8151136/deb5145c0c77/medicina-57-00470-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e19e/8151136/0f44641678fd/medicina-57-00470-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e19e/8151136/3b55257394cd/medicina-57-00470-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e19e/8151136/79bc69102740/medicina-57-00470-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e19e/8151136/b3e1a1f1298b/medicina-57-00470-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e19e/8151136/deb5145c0c77/medicina-57-00470-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e19e/8151136/0f44641678fd/medicina-57-00470-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e19e/8151136/3b55257394cd/medicina-57-00470-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e19e/8151136/79bc69102740/medicina-57-00470-g005.jpg

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本文引用的文献

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Radiofrequency ablation vs microwave ablation for osteoid osteomas: long-term results.射频消融与微波消融治疗骨样骨瘤:长期结果。
Skeletal Radiol. 2020 Dec;49(12):1995-2000. doi: 10.1007/s00256-020-03518-5. Epub 2020 Jun 20.
2
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Pediatr Radiol. 2019 Apr;49(4):566-570. doi: 10.1007/s00247-018-4327-1. Epub 2019 Jan 7.
3
Prospective pilot study of CT-guided microwave ablation in the treatment of osteoid osteomas.CT引导下微波消融治疗骨样骨瘤的前瞻性初步研究。
Cureus. 2024 May 29;16(5):e61332. doi: 10.7759/cureus.61332. eCollection 2024 May.
4
Osteoid Osteoma, a Diagnostic Problem: A Series of Atypical and Mimicking Presentations and Review of the Recent Literature.骨样骨瘤:一个诊断难题——一系列不典型及类似表现病例并对近期文献的综述
J Clin Med. 2023 Apr 5;12(7):2721. doi: 10.3390/jcm12072721.
Skeletal Radiol. 2017 Mar;46(3):315-323. doi: 10.1007/s00256-016-2558-5. Epub 2016 Dec 27.
4
Phase I/II Multi-Institutional Study of Percutaneous Radiofrequency Ablation for Painful Osteoid Osteoma (JIVROSG-0704).经皮射频消融治疗疼痛性骨样骨瘤的多机构I/II期研究(JIVROSG-0704)
Cardiovasc Intervent Radiol. 2016 Oct;39(10):1464-70. doi: 10.1007/s00270-016-1438-7. Epub 2016 Aug 4.
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The effect of simple local resection on pain and scoliotic curve in patients with scoliosis secondary to osteoid osteoma and osteoblastoma in the spine.单纯局部切除对脊柱骨样骨瘤和成骨细胞瘤继发脊柱侧弯患者疼痛及侧弯曲线的影响。
Acta Orthop Traumatol Turc. 2016;50(3):330-8. doi: 10.3944/AOTT.2015.14.0034.
6
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Int J Hyperthermia. 2016 May;32(3):339-44. doi: 10.3109/02656736.2015.1127434. Epub 2016 Jan 21.
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Magnetic Resonance-Guided High-Intensity Focused Ultrasound Ablation of Osteoid Osteoma: A Case Series Report.磁共振引导下高强度聚焦超声消融骨样骨瘤:病例系列报告
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