[1]卢莹莹,田庆华,王 涛,等.经皮骶骨成形术联合射频消融术治疗骶骨转移瘤的临床疗效[J].介入放射学杂志,2022,31(12):1194-1197.
　LU Yingying,TIAN Qinghua,WANG Tao,et al.Clinical efficacy of combination therapy of percutaneous sacroplasty and radiofrequency ablation for the treatment of sacral metastases [J].journal interventional radiology,2022,31(12):1194-1197.
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经皮骶骨成形术联合射频消融术治疗骶骨转移瘤的临床疗效()

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

卷:
31
期数:
2022年12
页码:
1194-1197
栏目:
临床研究
出版日期:
2023-01-11

文章信息/Info

Title:
Clinical efficacy of combination therapy of percutaneous sacroplasty and radiofrequency ablation for the treatment of sacral metastases 
作者:
卢莹莹;  田庆华;  王 涛;  吴春根
Author(s):
LU Yingying;  TIAN Qinghua;  WANG Tao;  WU Chungen.
Department of Diagnostic and Interventional Radiology， Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine， Shanghai 200233， China
关键词:
【关键词】 经皮骶骨成形术;  射频消融术;  骶骨转移瘤;  疼痛
文献标志码:
A
摘要:
【摘要】 目的 评价经皮骶骨成形术（PSP）联合射频消融术（RFA）治疗骶骨转移瘤的临床疗效。方法 2013年7月至2020年6月上海交通大学医学院附属第六人民医院治疗疼痛性骶骨转移96例，分为PSP联合RFA组35例，单纯PSP组61例。采用视觉模拟评分（VAS）、Oswestry功能障碍指数（ODI）评估手术前后的疼痛和活动功能情况。结果 PSP联合RFA组与单纯PSP组VAS评分比较，术后1个月为1.95比2.94，术后3个月为1.90比2.83，术后6个月为1.88比3.01，术后1年为2.00比2.91，差异均有统计学意义（均P＜0.05）。两组ODI评分比较，术后1个月为32.53比37.97，术后3个月为30.15比37.03，术后6个月为29.34 比37.12，术后1年为28.26比35.24，差异均有统计学意义（均P＜0.05）。两组的总体疼痛缓解率为94.28%比75.41%，差异有统计学意义（P＜0.05）。结论 PSP联合RFA治疗疼痛性骶骨转移瘤具有较好的安全性和有效性，比单纯PSP能更好地缓解疼痛和改善活动功能。

参考文献/References:

［1］ 冯 飞，陈 浩，贾 璞，等. 经皮骶骨成形术治疗骶骨转移瘤患者的临床疗效［J］. 实用骨科杂志， 2017， 23：728- 732.
［2］ Frey ME，Warner C，Thomas SM，et al. Sacroplasty a ten- year analysis of prospective patients treated with percutaneous sacroplasty［J］. Pain Physician， 2017， 20：E1063- E1072.
［3］ Yang SC， Tsai TT，Chen HS，et al. Comparison of sacroplasty with or without balloon assistance for the treatment of sacral insufficiency fractures［J］. J Orthop Surg（Hong Kong）， 2018， 26：23094990 18782575.
［4］ He Y， Han SL， Wu CG， et al. Comparison of the postoperative pain change and spinal stenosis rate between percutaneous vertebroplasty combined with radiofrequency ablation and with 125I particle implantation in the treatment of metastatic spinal cord compression： a retrospective study［J］. J Interv Med， 2021，4：197- 202.
［5］ Pereira LP，Clarencon F，Cormier E，et al. Safety and effectiveness of percutaneous sacroplasty： a single- centre experience in 58 consecutive patients with tumors or osteoporotic insufficient fractures treated under fluoroscopic guidance［J］. Eur Radiol，2013， 23：2764- 2772.
［6］ 史诗洁，程永德，宋国红，等. 经皮椎体成形术治疗腰骶椎转移癌一例［J］. 介入放射学杂志， 2002，11：172.
［7］ Moussazadeh N， Laufer I， Werner T， et al. Sacroplasty for cancer- associated insufficiency fractures［J］. Neurosurgery，2015，76：446- 450.
［8］ Nas OF，Kacar E，Buyukkaya R，et al. Treatment of sacral aneurysmal bone cyst with percutaneous sacroplasty［J］. Spine J， 2016， 16：e1- e2.
［9］ Burgard CA，Dinkel J，Strobl F，et al. CT fluoroscopy- guided percutaneous osteoplasty with or without radiofrequency ablation in the treatment of painful extraspinal and spinal bone metastases：technical outcome and complications in 29 patients［J］. Diagn Interv Radiol，2018， 24：158- 165.
［10］ Chow R， Hoskin P， Hollenberg D， et al. Efficacy of single fraction conventional radiation therapy for painful uncomplicated bone metastases： a systematic review and meta- analysis［J］. Ann Palliat Med，2017，6：125- 142.
［11］ Matcuk GR Jr， Mahanty SR， Skalski MR， et al. Stress fractures： pathophysiology， clinical presentation， imaging features， and treatment options［J］. Emerg Radiol， 2016，23： 365- 375.
［12］ Laitinen MK， Parry MC， Albergo JI， et al. Is computer navigation when used in the surgery of iliosacral pelvic bone tumours safer for the patient?［J］. Bone Joint J， 2017， 99- B：261- 266.
［13］ Tian QH， Liu HF， Wang T， et al. Percutaneous sacroplasty for painful sacral metastases involving multiple sacral vertebral bodies： initial experience with an interpedicular approach［J］. Korean J Radiol， 2019， 20：939- 946.
［14］ 孙飞虎，何仕诚，王卫东，等. CT多曲面重建在C臂引导经皮骶骨成形术中的应用［J］. 介入放射学杂志， 2021， 30：788- 791.
［15］ Kortman K，Ortiz O，Miller T，et al. Multicenter study to assess the efficacy and safety of sacroplasty in patients with osteoporotic sacral insufficiency fractures or pathologic sacral lesions［J］. J Neurointerv Surg， 2013， 5：461- 466.
［16］ 王卫国，吴春根，程永德，等. 射频消融术联合经皮椎体成形术治疗脊柱转移性肿瘤［J］. 介入放射学杂志， 2009， 18： 362- 366.
［17］ Andresen R， Radmer S， Kamusella P. Individual approaches adapted tothe course of the fracture in CT- assisted balloon sacroplasty for the treatment of insufficiency fractures of the sacrum［J］. Bone， 2012， 50：S162.
［18］ Andresen R， Lüdtke CW， Radmer S， et al. Radiofrequency sacroplasty（RFS） for the treatment of osteoporotic insufficiency fractures［J］. Eur Spine J， 2015， 24：759- 763.
［19］ Chandra V，Wajswol E，Shukla P，et al. Safety and efficacy of sacroplasty for sacral fractures： a systematic review and meta- analysis［J］. J Vasc Interv Radiol， 2019， 30：1845- 1854.

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　HU Ji? hong,WANG Hui,ZHAO Wei,et al. The repair process of radiofrequency ablation?蛳 induced long bone damages of the limb： an experimental study in vivo[J].journal interventional radiology,2013,(12):670.

备注/Memo

备注/Memo:
（收稿日期：2022- 07- 30）
（本文编辑：新 宇）
更新日期/Last Update: 2023-01-11