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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.

DOI:10.1016/j.jcot.2022.101869
PMID:35494487
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9043674/
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。

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本文引用的文献

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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.
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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.
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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.
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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.
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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
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Clin Cases Miner Bone Metab. 2017 Sep-Dec;14(3):363-367. doi: 10.11138/ccmbm/2017.14.3.363. Epub 2017 Dec 27.
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