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骨转移瘤微创治疗的研究现状

State-of-the-art of minimally invasive treatments of bone metastases.

作者信息

Li Cun, Wu Qianghua, Chang Daijun, Liang Hui, Ding Xiaofei, Lao Chendeng, Huang Zonggui

机构信息

Department of Orthopaedics, The First People's Hospital of Nanning, Nanning, PR China.

Department of Orthopaedics, The First Affiliated Hospital of Guangxi Medical University, Nanning, PR China.

出版信息

J Bone Oncol. 2022 Mar 19;34:100425. doi: 10.1016/j.jbo.2022.100425. eCollection 2022 Jun.

Abstract

Bone metastases is a common manifestation of advanced malignant tumors. With the recent advances in medical technology, the survival period of patients with malignant tumors is prolonged, and the probability of bone metastases is significantly increased. Approximately 70% to 80% of patients with breast or prostate cancer will eventually develop bone metastases. In addition, thyroid, lung, and kidney carcinomas are all known to cause bone metastases, with a 30% to 40% incidence upon postmortem assessment. Bone metastases often lead to severe pain, pathological fractures, and nerve damage and have become a critical factor affecting the quality of life and life expectancy of cancer patients. Although treatments for bone metastases are diverse, choosing the appropriate treatment is difficult. Both conservative treatment and open surgery have certain drawbacks and may not be appropriate for all patients. Interventional procedures have the advantages of less trauma with quicker recovery and represent a viable alternative. This review provides updates on the progress of research on the interventional treatment of bone metastases and directions regarding relevant further studies.

摘要

骨转移是晚期恶性肿瘤的常见表现。随着现代医学技术的进步,恶性肿瘤患者的生存期延长,骨转移的发生率显著增加。大约70%至80%的乳腺癌或前列腺癌患者最终会发生骨转移。此外,甲状腺癌、肺癌和肾癌也都已知会导致骨转移,尸检评估时的发生率为30%至40%。骨转移常导致严重疼痛、病理性骨折和神经损伤,已成为影响癌症患者生活质量和预期寿命的关键因素。尽管骨转移的治疗方法多种多样,但选择合适的治疗方法却很困难。保守治疗和开放手术都有一定的缺点,可能并不适用于所有患者。介入治疗具有创伤小、恢复快的优点,是一种可行的替代方法。本文综述了骨转移介入治疗的研究进展以及相关进一步研究的方向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9325/8980625/facda58b6684/gr1.jpg

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