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引起疼痛的良性软组织病变:介入放射科医生应在何时以及如何进行干预。

Benign Soft Tissue Lesions Responsible for Pain: When and How Should the IR Intervene.

作者信息

Filippiadis Dimitrios, Petsatodis Evangelos, Charalampopoulos Georgios, Giannakis Athanasios, Chlorogiannis David Dimitrios, Velonakis Georgios, Cornelis Francois

机构信息

Second Department of Radiology, School of Medicine, 'Attikon' University General Hospital, National and Kapodistrian University of Athens, 1 Rimini Str, 12462, Haidari/Athens, Greece.

Interventional Radiology Department, G. Papanikolaou General Hospital Thessaloniki, Polikleitou Regou 15, 54646, Thessaloniki, Greece.

出版信息

Cardiovasc Intervent Radiol. 2025 Jan 9. doi: 10.1007/s00270-024-03940-5.

Abstract

In most of the cases Interventional Radiology techniques and therapies are proposed for the management of symptomatic soft tissue benign tumors responsible for pain and/or compression symptoms aiming to offer a curative intent by means of tumor necrosis with subsequent symptoms' management and improvement of life quality. The ablative therapies include chemical, thermal and non-thermal approaches while, trans-arterial (chemo)embolization also has a distinct role. Adjunct ancillary techniques should be performed whenever necessary to increase efficacy and safety and avoid or reduce complications. The purpose of the current review is to identify the basis for treating soft tissue benign tumors with Interventional Radiology therapies, to offer a detailed review of them, to explain the expected outcomes and describe techniques for avoiding complications. Furthermore, a reflection upon future directions will be suggested.

摘要

在大多数情况下,介入放射学技术和疗法被用于治疗引起疼痛和/或压迫症状的有症状软组织良性肿瘤,旨在通过肿瘤坏死实现治愈目的,随后进行症状管理并提高生活质量。消融疗法包括化学、热和非热方法,而经动脉(化疗)栓塞也有独特作用。必要时应采用辅助技术以提高疗效和安全性,避免或减少并发症。本综述的目的是确定用介入放射学疗法治疗软组织良性肿瘤的依据,对其进行详细综述,解释预期结果并描述避免并发症的技术。此外,还将对未来方向提出思考。

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