[1]贡桔,陆志俊,王忠敏,等.CT引导下射频治疗转移性骨肿瘤的临床应用[J].介入放射学杂志,2009,(05):344.
　GONG Ju,LU Zhi-jun,WANG Zhong-min,et al.Clinical application of CT-guided radiofrequency ablation for the treatment of metastatic bone neoplasms[J].journal interventional radiology,2009,(05):344.
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CT引导下射频治疗转移性骨肿瘤的临床应用()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2009年05期
页码:
344
栏目:
非血管介入
出版日期:
2009-05-15

文章信息/Info

Title:
Clinical application of CT-guided radiofrequency ablation for the treatment of metastatic bone neoplasms
作者:
贡桔; 陆志俊; 王忠敏; 等
２０００２０上海交通大学医学院附属瑞金医院卢湾分院放射科（贡桔、陆志俊、王忠敏、张丽云、郑云峰）；瑞金医院放射科（陈克敏）
Author(s):
GONG Ju; LU Zhi-jun; WANG Zhong-min; CHEN Ke-min; ZHANG Li-yun; ZHENG Yun-feng
Department of Radiology，Luwan Branch of Ruijin Hospital，School of Medicine，Shanghai Jiaotong University，Shanghai２０００２０，China
关键词:
骨肿瘤; 射频消融; CT引导; 介入治疗
分类号:
R７３０.５；R７３８.１
文献标志码:
A
摘要:
目的探讨CT引导下射频消融（RFA）治疗转移性骨肿瘤的疗效。方法对２０例恶性肿瘤骨转移患者静脉麻醉下行CT引导下RFA治疗骨肿瘤，采用简明疼痛调查表（BPI）观察术后２４h，３、６个月疼痛评分。结果全组２０例治疗后随访６个月全部存活，术前２０例患者平均每日最强疼痛评分为８．１分（范围６～１０）。RFA术后２４h，１、３和６个月治疗后平均最强疼痛评分分别减低为６．１、４．６、３．３和３．０分（P＜０．００１）。治疗前每日平均疼痛评分为６．３分，RFA术后２４h，１、３和６个月平均疼痛评分分别减低为４．０、２．３、２．１和１．９分（P＜０．０１）。RFA术后所有患者KPS积分都有所提高，随访患者骨肿瘤CT值有下降。所有患者术中及术后随访未出现明显的并发症。１例椎板破坏患者RFA术后有下部肢体感觉减退，给予泼尼松注射后，４８h内下部肢体感觉恢复。结论CT引导下RFA治疗骨肿瘤，近期疗效确切，具有良好的止痛效果，是一种新颖、安全、有效、并发症少的微创治疗方法。

参考文献/References:

［１］Cleeland CS，Gonin R，Hatfield AK，et al．Pain and its treatment in outpatients with metastatic cancer［J］．N Engl J Med，１９９４，３３０：５９２-５９６．
［２］Jacox A，Carr DB，Payne R．New clinicalpractice guidelines for the management of pain in patients with cancer［J］．N

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备注/Memo

备注/Memo:
收稿日期：２００９-０２-２５
更新日期/Last Update: 2009-05-15