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在肌肉骨骼消融过程中对神经结构的热保护。

Thermoprotection of Neural Structures During Musculoskeletal Ablation.

机构信息

Department of Radiology, Mayo Clinic, 200 First St. SW, Rochester, MN, 55905, USA.

出版信息

Cardiovasc Intervent Radiol. 2023 Nov;46(11):1495-1503. doi: 10.1007/s00270-023-03407-z. Epub 2023 Mar 21.

DOI:10.1007/s00270-023-03407-z
PMID:36944852
Abstract

Percutaneous thermal ablation is widely used for local control and palliation of a variety of lesions throughout the musculoskeletal system. In this setting, safe ablation is predicated on the avoidance of unintentional injury to vulnerable neural structures that are often in proximity to ablation targets. This article highlights key periprocedural considerations in musculoskeletal ablation and reviews the array of active and passive thermoprotective measures that are critical to safe and successful treatment.

摘要

经皮热消融术广泛用于控制和缓解各种肌肉骨骼系统的病变。在这种情况下,安全的消融术取决于避免对靠近消融靶点的易受损伤的神经结构造成意外伤害。本文重点介绍肌肉骨骼消融的关键围手术期注意事项,并回顾了一系列主动和被动热保护措施,这些措施对安全和成功的治疗至关重要。

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本文引用的文献

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CIRSE Standards of Practice on Thermal Ablation of Bone Tumours.CIRSE 骨肿瘤热消融治疗实践标准。
Cardiovasc Intervent Radiol. 2022 May;45(5):591-605. doi: 10.1007/s00270-022-03126-x. Epub 2022 Mar 29.
2
Changes of Functional, Morphological, and Inflammatory Reactions in Spontaneous Peripheral Nerve Reinnervation after Thermal Injury.热损伤后自发性周围神经再支配的功能、形态和炎症反应的变化。
Oxid Med Cell Longev. 2022 Feb 1;2022:9927602. doi: 10.1155/2022/9927602. eCollection 2022.
3
Percutaneous Cryoablation of Large Tumors: Safety, Feasibility, and Technical Considerations.
Cardiovasc Intervent Radiol. 2023 Nov;46(11):1437-1438. doi: 10.1007/s00270-023-03586-9. Epub 2023 Oct 24.
经皮冷冻消融治疗大肿瘤:安全性、可行性和技术考虑因素。
Cardiovasc Intervent Radiol. 2022 Jan;45(1):69-79. doi: 10.1007/s00270-021-03025-7. Epub 2021 Dec 2.
4
Utility of Motor and Somatosensory Evoked Potentials for Neural Thermoprotection in Ablations of Musculoskeletal Tumors.运动和体感诱发电位在肌肉骨骼肿瘤消融术中神经热保护中的应用。
J Vasc Interv Radiol. 2020 Jun;31(6):903-911. doi: 10.1016/j.jvir.2019.12.015. Epub 2020 Apr 25.
5
Does cryoneurolysis result in persistent motor deficits? A controlled study using a rat peroneal nerve injury model.冷冻神经松解术是否会导致持续的运动功能障碍?一项使用大鼠腓总神经损伤模型的对照研究。
Reg Anesth Pain Med. 2020 Apr;45(4):287-292. doi: 10.1136/rapm-2019-101141. Epub 2020 Jan 29.
6
Dual-Energy CT Monitoring of Cryoablation Zone Growth in the Spinal Column and Bony Pelvis: A Laboratory Study.双能 CT 监测脊柱和骨盆骨冷冻消融区的生长:一项实验室研究。
J Vasc Interv Radiol. 2019 Sep;30(9):1496-1503. doi: 10.1016/j.jvir.2019.01.030. Epub 2019 May 18.
7
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Radiology. 2019 May;291(2):529-530. doi: 10.1148/radiol.2019190212. Epub 2019 Feb 26.
8
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9
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