经皮CT引导下骨样骨瘤的射频消融：潜在陷阱、并发症及如何避免
Percutaneous CT-guided radiofrequency ablation of osteoid osteoma: Potential Pitfalls and complications and how to avoid them.
作者信息
Singh Dharmendra Kumar, Kumar Nishith, Rustagi Ashish, Jalan Divesh, Krishna Loveneesh G, Sharma Anuradha
机构信息
Department of Radiodiagnosis, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
Central Institute of Orthopaedics, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
出版信息
J Clin Orthop Trauma. 2022 Apr 16;28:101869. doi: 10.1016/j.jcot.2022.101869. eCollection 2022 May.
Abstract
Targeted cannulation of the nidus and subsequent thermal ablation is the basis of CT-guided radiofrequency ablation (RFA) of osteoid osteoma, which is considered nowadays as the treatment of choice. The majority of complications during this procedure are due to thermal injury of adjacent structures. Specific measures as per the anatomical location of osteoid osteoma can avoid the majority of complications. This article enlists the possible complications and their necessary precautions and remedies to avoid these complications during CT-guided radiofrequency ablation of osteoid osteoma.
摘要
对骨样骨瘤的瘤巢进行靶向插管并随后进行热消融是CT引导下射频消融（RFA）治疗骨样骨瘤的基础，目前这被视为首选治疗方法。该手术过程中的大多数并发症是由于邻近结构的热损伤所致。根据骨样骨瘤的解剖位置采取的具体措施可避免大多数并发症。本文列举了CT引导下骨样骨瘤射频消融术中可能出现的并发症以及避免这些并发症所需的预防措施和补救方法。
相似文献
1
Percutaneous CT-guided radiofrequency ablation of osteoid osteoma: Potential Pitfalls and complications and how to avoid them.经皮CT引导下骨样骨瘤的射频消融：潜在陷阱、并发症及如何避免
J Clin Orthop Trauma. 2022 Apr 16;28:101869. doi: 10.1016/j.jcot.2022.101869. eCollection 2022 May.
2
Intraarticular Osteoid Osteoma: MRI Characteristics and Clinical Presentation Before and After Radiofrequency Ablation Compared to Extraarticular Osteoid Osteoma.关节内骨样骨瘤：与关节外骨样骨瘤相比，射频消融前后的 MRI 特征和临床表现。
Rofo. 2020 Dec;192(12):1190-1199. doi: 10.1055/a-1181-9041. Epub 2020 Jul 8.
3
CT-guided radiofrequency ablation of osteoid osteoma: established concepts and new ideas.CT 引导下骨样骨瘤射频消融术：既定概念与新观点。
Br J Radiol. 2020 Oct 1;93(1114):20200266. doi: 10.1259/bjr.20200266. Epub 2020 Jun 24.
4
Computed tomography-guided radiofrequency ablation of intra-articular osteoid osteoma: a single centre's experience.计算机断层扫描引导下关节内骨样骨瘤的射频消融：单中心经验
Int J Hyperthermia. 2017 Sep;33(6):670-674. doi: 10.1080/02656736.2017.1294711. Epub 2017 Mar 1.
5
Percutaneous Biopsy and Radiofrequency Ablation of Osteoid Osteoma with Excess Reactive New Bone Formation and Cortical Thickening Using a Battery-Powered Drill for Access: A Technical Note.使用电池驱动钻针入路对伴有过多反应性新骨形成和皮质增厚的骨样骨瘤进行经皮活检和射频消融：技术说明
Cardiovasc Intervent Radiol. 2016 Oct;39(10):1499-505. doi: 10.1007/s00270-016-1366-6. Epub 2016 May 26.
6
CT-guided Percutaneous Radiofrequency Ablation of Osteoid Osteoma with Double Nidi in One Session.CT引导下经皮一次性射频消融治疗双骨样骨瘤病灶
J Coll Physicians Surg Pak. 2020 Dec;30(12):1348-1351. doi: 10.29271/jcpsp.2020.12.1348.
7
CT-guided radiofrequency ablation in osteoid osteoma: Result from a tertiary cancer centre in India.CT引导下射频消融治疗骨样骨瘤：来自印度一家三级癌症中心的结果。
Indian J Radiol Imaging. 2017 Jul-Sep;27(3):318-323. doi: 10.4103/ijri.IJRI_30_17.
8
Computed tomography guided radiofrequency ablation of osteoid osteoma in children: a single center's experience.计算机断层扫描引导下儿童骨样骨瘤的射频消融：单中心经验
Skeletal Radiol. 2022 Apr;51(4):855-861. doi: 10.1007/s00256-021-03904-7. Epub 2021 Sep 13.
9
Radiofrequency ablation of osteoid osteoma in the atlas: A case report.寰椎骨样骨瘤的射频消融：一例报告。
Interv Neuroradiol. 2018 Feb;24(1):88-92. doi: 10.1177/1591019917742889. Epub 2017 Nov 20.
10
Management of Osteoid Osteoma in Unusual Locations.罕见部位骨样骨瘤的治疗
Acta Chir Orthop Traumatol Cech. 2020;87(4):285-291.
引用本文的文献
1
Osteoid osteoma: A masquerader of persistent knee pain in the setting of prior lateral tibial plateau cement subchondroplasty.骨样骨瘤：既往胫骨外侧平台骨水泥软骨下成形术后持续性膝关节疼痛的伪装者。
Radiol Case Rep. 2024 Nov 28;20(2):1034-1040. doi: 10.1016/j.radcr.2024.10.148. eCollection 2025 Feb.
2
Short- and Long-Term Outcomes after Radiofrequency Ablation of Osteoid Osteomas.骨样骨瘤射频消融术后的短期和长期疗效
J Pers Med. 2024 Apr 10;14(4):401. doi: 10.3390/jpm14040401.
3
Intra-articular Osteoid Osteoma of the Intermediate Cuneiform Bone Causing Articular Degeneration: A Rare Case and Literature Review.中间楔骨关节内骨样骨瘤导致关节退变：一例罕见病例并文献复习。
Orthop Surg. 2023 Sep;15(9):2471-2476. doi: 10.1111/os.13805. Epub 2023 Jul 11.
4
Osteoid Osteoma of the Hand: Surgical Treatment versus CT-Guided Percutaneous Radiofrequency Thermal Ablation.手部骨样骨瘤：手术治疗与CT引导下经皮射频热消融术的对比
Life (Basel). 2023 Jun 8;13(6):1351. doi: 10.3390/life13061351.
本文引用的文献
1
Osteoid Osteoma: An Updated Review of Epidemiology, Pathogenesis, Clinical Presentation, Radiological Features, and Treatment Option.骨样骨瘤：流行病学、发病机制、临床表现、影像学特征和治疗选择的更新综述。
In Vivo. 2021 Jul-Aug;35(4):1929-1938. doi: 10.21873/invivo.12459.
2
CT-guided radiofrequency ablation of osteoid osteoma: established concepts and new ideas.CT 引导下骨样骨瘤射频消融术：既定概念与新观点。
Br J Radiol. 2020 Oct 1;93(1114):20200266. doi: 10.1259/bjr.20200266. Epub 2020 Jun 24.
3
Computed tomography guided radio-frequency ablation of osteoid osteomas in atypical locations.计算机断层扫描引导下对非典型部位骨样骨瘤进行射频消融
Indian J Radiol Imaging. 2019 Jul-Sep;29(3):253-257. doi: 10.4103/ijri.IJRI_259_19. Epub 2019 Oct 30.
4
Factors Associated with Osteoid Osteoma Recurrence after CT-Guided Radiofrequency Ablation.CT 引导下射频消融术后骨样骨瘤复发的相关因素。
J Vasc Interv Radiol. 2019 May;30(5):744-751. doi: 10.1016/j.jvir.2018.11.014. Epub 2019 Mar 14.
5
Foot and Ankle Osteoid Osteomas.足踝骨样骨瘤
J Foot Ankle Surg. 2018 Jul-Aug;57(4):826-832. doi: 10.1053/j.jfas.2017.11.019. Epub 2018 Mar 2.
6
Femur shaft fracture following osteoid osteoma radiofrequency ablation.骨样骨瘤射频消融术后股骨干骨折
Clin Cases Miner Bone Metab. 2017 Sep-Dec;14(3):363-367. doi: 10.11138/ccmbm/2017.14.3.363. Epub 2017 Dec 27.
7
Radiofrequency ablation of osteoid osteoma.骨样骨瘤的射频消融术。
Acta Biomed. 2018 Jan 19;89(1-S):175-185. doi: 10.23750/abm.v89i1-S.7021.
8
Radiofrequency ablation of osteoid osteoma in common and technically challenging locations in pediatric population.小儿常见及技术上具有挑战性部位骨样骨瘤的射频消融术。
Indian J Radiol Imaging. 2017 Jan-Mar;27(1):88-91. doi: 10.4103/0971-3026.202955.
9
Osteoid osteoma of the foot and ankle--A systematic review.足踝部骨样骨瘤——一项系统评价
Foot Ankle Surg. 2015 Dec;21(4):228-34. doi: 10.1016/j.fas.2015.04.005. Epub 2015 May 8.
10
Osteoid osteomas of the foot and ankle: a study of patients over a 20-year period.足踝部骨样骨瘤：一项为期20年的患者研究。
Am J Orthop (Belle Mead NJ). 2014 Dec;43(12):552-6.
Zotero 插件