[1]王玉涛,汪建华,王海涛,等.CT引导射频消融术治疗股骨颈骨样骨瘤六例[J].介入放射学杂志,2014,(09):809-812.
WANG Yu tao,WANG Jian hua,WANG Hai tao,et al.CT guided radiofrequency ablation for the treatment of osteoid osteoma in femoral neck: preliminary experience in 6 cases[J].journal interventional radiology,2014,(09):809-812.
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CT引导射频消融术治疗股骨颈骨样骨瘤六例 ()
《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]
- 卷:
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- 期数:
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2014年09期
- 页码:
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809-812
- 栏目:
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临床研究
- 出版日期:
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2014-09-25
文章信息/Info
- Title:
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CT guided radiofrequency ablation for the treatment of osteoid osteoma in femoral neck: preliminary experience in 6 cases
- 作者:
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王玉涛; 汪建华; 王海涛; 于志海; 涂 灿; 左长京; 田建明
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- Author(s):
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WANG Yu tao; WANG Jian hua; WANG Hai tao; YU Zhi hai; TU Can; ZUO Chang jing; TIAN Jian ming.
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Department of Radiology, Affiliated Hospital, School of Medicine, Ningbo University, Ningbo, Zhejiang Province 315020, China
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- 关键词:
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【关键词】 骨瘤; 骨样; 股骨颈; 导管消融术; 穿刺术
- 文献标志码:
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A
- 摘要:
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【摘要】 目的 探讨CT引导下应用射频消融术(RFA)治疗股骨颈骨样骨瘤的可行性、安全性,并评估其疗效。方法 对6例股骨颈骨样骨瘤患者采用CT引导下经皮穿刺RFA术治疗。患者均以髋关节疼痛症状为主,病程1个月 ~ 2年,平均8个月。手术在腰麻下进行,术中于CT引导下应用直径3.5 ~ 4.0 mm穿刺针穿入瘤巢中心,用骨活检针刮取肿瘤组织送病理学检查。再将有效治疗直径1.5 ~ 2.0 cm的射频电极准确插入瘤巢中心,治疗温度90℃持续6 min。术后以疼痛视觉拟评分(VAS)作为临床疗效评定参数。手术前后行MRI检查,进行影像学对比。结果 术后3 d疼痛不同程度缓解,术后1周内均能下床行走。VAS评分明显降低,差异有统计学意义(P < 0.01)。术中、术后均未见严重并发症,随访期间内无复发。结论 CT引导下经皮穿刺RFA治疗股骨颈骨样骨瘤是一种安全、有效的微创方法,术后并发症少,临床疗效良好。
参考文献/References:
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[10] 蔡郑东, 郑龙坡, 左长京, 等. CT引导下经皮穿刺骨样骨瘤射频消融术[J]. 中华骨科杂志, 2008, 28: 122 126.
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备注/Memo
- 备注/Memo:
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(收稿日期:2013-10-25)
(本文编辑:俞瑞纲)
更新日期/Last Update:
2014-09-18