de Berg J C, Pattynama P M, Obermann W R, Bode P J, Vielvoye G J, Taminiau A H
Department of Radiology, University Hospital, Leiden, Netherlands.
Lancet. 1995 Aug 5;346(8971):350-1. doi: 10.1016/s0140-6736(95)92228-8.
Current treatment for osteoid osteomas is usually surgical excision of the nidus. We treated 18 patients with osteoid osteoma by percutaneous thermocoagulation of the nidus under computed-tomography guidance. The procedure was technically successful in all cases and there were no complications. Patients were discharged on the following morning and resumed normal activities immediately. All patients but one remained pain free during follow-up (range 3-15 months). A second thermocoagulation treatment relieved the recurrent symptoms in this patient. Percutaneous thermocoagulation appears to be effective for osteoid osteomas, and is a minimally invasive alternative to surgical resection.
骨样骨瘤的当前治疗方法通常是对瘤巢进行手术切除。我们在计算机断层扫描引导下通过经皮热凝瘤巢治疗了18例骨样骨瘤患者。该操作在所有病例中技术上均获成功，且无并发症。患者于次日上午出院并立即恢复正常活动。除1例患者外，所有患者在随访期间（3 - 15个月）均无疼痛。第二次热凝治疗缓解了该患者的复发症状。经皮热凝似乎对骨样骨瘤有效，并且是手术切除的一种微创替代方法。
