CT引导骨样骨瘤旋切与射频消融疗效分析

发布时间：2017-12-28 07:08

本文关键词：CT引导骨样骨瘤旋切与射频消融疗效分析　出处：《中国医学计算机成像杂志》2016年05期 　论文类型：期刊论文

更多相关文章： 骨样骨瘤 CT MRI 介入性治疗 射频

【摘要】：目的:总结骨样骨瘤的影像学和临床表现,对照分析骨样骨瘤旋切与射频消融的疗效。方法:回顾性分析CT引导12例旋切及20例射频消融骨样骨瘤病例。分析影像学和临床表现特点,疼痛视觉模拟评分(VAS)评估疼痛情况;分析二组患者的疗效。结果:X线、CT、MR对瘤巢的显示率分别为59.37%、100%、87.5%;患者均以局部或关节疼痛就诊,夜间疼痛加重、服用非甾体类镇痛药可缓解为典型表现。12例旋切治疗者均治愈(100%,12/12),除1例患者疼痛减轻外,其余患者治疗后局部疼痛均有增加;1例患者出现局部血肿和感染;20例射频消融治疗者均治愈(100%,20/20),无并发症发生。结论:骨样骨瘤有典型的影像学表现,采用射频消融治疗具有损伤小、疗效确切、并发症少、恢复快的特点。
[Abstract]:Objective: To summarize the imaging and clinical manifestations of osteoid osteoma, and to compare the effect of osteoid osteoma circumflex and radiofrequency ablation. Methods: a retrospective analysis of 12 cases of CT guided circumflex resection and 20 cases of radiofrequency ablation of osteoid osteoma was performed. Analysis of imaging and clinical manifestations, pain visual simulation score (VAS) to assess the pain situation, and analyze the efficacy of the two groups. Results: the rate of X-ray, CT and MR showed 59.37%, 100% and 87.5%, respectively. All patients complained of local pain or joint pain, night pain and non steroidal analgesics. 12 cases of circumcision treatment were cured (100%, 12/12), in addition to 1 cases of pain relief, the other patients had increased local pain after treatment, 1 patients had local hematoma and infection, 20 cases were cured by radiofrequency ablation (100%, 20/20), no complications occurred. Conclusion: osteoid osteoma has typical imaging features. Radiofrequency ablation has the characteristics of small injury, definite curative effect, less complications and rapid recovery.
【作者单位】：上海交通大学医学院附属瑞金医院放射介入科;上海交通大学医学院附属瑞金医院放射科;
【分类号】：R738;R730.44
【正文快照】： 中国医学计算机成像杂志,2016,22:478-482Chin Comput Med Imag,2016,22:478-4821 Department of Interventional Radiology,Ruijin Hospital,JiaotongUniversity,School of Medicine2 Departmend of Radiology,Ruijin Hospital,Jiaotong University School of MedicineAddres

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