Osteoid osteoma: Clinical results with thermocoagulation
Osteoid osteoma: Clinical results with thermocoagulation
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DOI：
10.1148/radiol.2241011135
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发表时间：
2002-07-01
期刊：
影响因子：
19.7
通讯作者：
Bloem, JL
中科院分区：
文献类型：
--
作者：
Vanderschueren, GM;Taminiau, AHM;Bloem, JL
目的：确定一组未经选择的连续接受热凝治疗的骨样骨瘤患者的临床结果。 材料和方法：在 97 名连续的任意位置有骨样骨瘤临床和/或放射学证据的患者中，在计算机断层扫描引导下评估热凝前后的临床症状。良好的反应被定义为就诊时表现出的、归因于骨样骨瘤的症状消失。出院前进行临床评估；手术后 2 周内；并在 3、6、12 和 24 个月进行随访。 24个月后，采用邮寄问卷进行评估。结果：唯一一次或最后一次热凝治疗后的平均临床随访时间为41个月（范围5-81个月）。 97 名患者中有 74 名 (76%) 接受一次热凝治疗后反应良好，95% CI 为 68% 至 85%。症状持续的患者在重复热凝后效果良好（12 名患者中有 10 名反应良好），但症状反复的患者重复热凝效果较差（10 名患者中有 5 名反应良好）。联合一两次热凝手术后的总体成功率为 92%（97 名患者中的 89 名患者），95% CI 为 86% 至 97%。 2例患者出现并发症。结论：经皮热凝术是治疗任意部位骨样骨瘤安全、有效的方法。对于症状持续的患者，重复热凝是成功的。 (C) 北美放射学会，2002 年。
PURPOSE: To determine the clinical results in an unselected group of consecutive patients with osteoid osteoma treated with thermocoagulation.MATERIALS AND METHODS: In 97 consecutive patients with clinical and/or radiologic evidence of osteoid osteoma at any location, the clinical symptoms were assessed before and after thermocoagulation with computed tomographic guidance. A good response was defined as disappearance of symptoms that were manifested at presentation and attributed to osteoid osteoma. Clinical assessment was performed prior to discharge; within 2 weeks after the procedure; and at 3 6 12, and 24 months follow-up. After 24 months, a postal questionnaire was used for assessment.RESULTS: The mean clinical follow-up after the only or the last thermocoagulation session was 41 months (range, 5-81 months). Response was good after one session of thermocoagulation in 74 (76%) of 97 patients, and the 95% Cl was 68% to 85%. Patients with persistent symptoms did well after repeated thermocoagulation (good to response in 10 of 12 patients), but results of repeated thermocoagulation were poor in patients with recurrent symptoms (good response in five of 10). The overall success rate after one or two thermocoagulation procedures combined was 92% (89 of 97 patients), and the 95% Cl was 86% to 97%. Complications were observed in two patients.CONCLUSION: Percutaneous thermocoagulation is a safe and effective method for treatment of osteoid osteoma at any location. Repeated thermocoagulation is successful in patients with persistent symptoms. (C) RSNA, 2002.