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骨骨瘤的冷化:这是一个有效的治疗选择吗?
Antonios Michailidis1, Athanasios Panos2, Efthimios Samoladas2
1Department of Interventional Radiology, Georgios Papanikolaou General Hospital of Thessaloniki, Thessaloniki 57010, Greece.
World journal of radiology
|October 2, 2024
概括
透皮冷治疗为骨骨质瘤提供了一种安全有效的治疗方法,在最近的一项研究中实现了完全的疼痛缓解和没有复发. 这种在局部麻醉下进行的微创手术为患者提供了持久的结果.
科学领域:
- 整形外科手术 整形外科手术
- 干预性放射学 干预性放射学
- 在瘤学瘤学.
背景情况:
- 骨质性骨瘤是一种良性骨瘤,通常用射频切除治疗.
- 穿皮式冷化是一种有前途的替代方案,具有明显的优势.
研究的目的:
- 评估通过皮肤计算机断层扫描 (CT) 引导的化治疗骨骨瘤治疗的疗效和安全性.
- 评估年轻患者和成年人的结局.
主要方法:
- 25名患者 (年龄大于14岁) 在2020年10月至2023年3月期间接受了CT引导的冷处理.
- 在局部麻醉下进行的手术,使用一个冷探头,在可行的情况下进行骨外定位.
- 瘤部位包括大腿骨,中间骨,神圣骨头,面部,骨和骨.
主要成果:
- 100%的临床成功率与完全的疼痛缓解 (VAS平均8.5到0在1年).
- 100%的技术成功,在1年的随访中没有报告的复发或并发症.
- 对所有患者实现了当天的出院; 骨外探头的放置减少了手术时间和患者的不适.
结论:
- 通过CT指导的冷治疗是一种有效和安全的治疗骨骨瘤,产生持久的临床结果.
- 手术在局部麻醉下进行的能力,特别是与骨外冷探针放置,是一个显著的优势.
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