CT引导微波消融治疗下肢骨样骨瘤的临床研究  

Clinical study of CT-guided microwave ablation for osteoid osteoma of lower extremity

作　　者：郑波 胡伟 马小燕 袁罡 徐燕能 张训 罗建明 张向琼 斯光晏 ZHENG Bo;HU Wei;MA Xiaoyan;YUAN Gang;XU Yanneng;ZHANG Xun;LUO Jianming;ZHANG Xiangqiong;SI Guangyan(Department of Intervention,Hospital of Traditional Chinese Medicine Affiliated to Southwest Medical University,Luzhou 646000,Sichuan,China)

机构地区：[1]西南医科大学附属中医医院介入科

出　　处：《微创医学》2019年第6期712-715,共4页Journal of Minimally Invasive Medicine

摘　　要：目的探讨CT引导下微波消融(MWA)治疗下肢骨样骨瘤的安全性及疗效。方法回顾性分析行CT引导MWA治疗的7例下肢骨样骨瘤患者的临床资料。在局麻下经CT引导,用骨穿针穿刺建立工作通道,将消融针精准插入瘤巢中心,消融参数设为50 W,持续6 min。术前、术后用疼痛视觉模拟量表(VAS)法评估临床疗效。结果7例患者术后患者VAS评分下降,疼痛得到不同程度缓解,均未见严重并发症。1例患者伤口延迟愈合,经抗生素、局部换药后完全愈合。结论CT引导下经皮MWA治疗下肢骨样骨瘤安全、有效。Objective To investigate the safety and efficacy of CT-guided microwave ablation(MWA)in the treatment of osteoid osteoma of lower extremity.Methods The clinical data of 7 patients with osteoid osteoma of lower extremity undergoing CT-guided MWA were analyzed retrospectively.Under local anesthesia and guided by CT,bone puncture needle were used to establish working channel,then the ablation needle was precisely inserted into the center of tumor nest with the ablation parameters set as 50 W,lasting for 6 minutes.The visual analogue scale(VAS)was employed to evaluate the clinical efficacy before and after the operation.Results For all 7 patients,the VAS score decreased,and the pain was relieved in different degrees,with no serious complication observed.One patient exhibited as delayed union of the wound,but completely healed after antibiotics employing and local dressing change.Conclusion CT-guided MWA is safe and effective for ostoeid osteoma of lower extremity.

关 键 词：下肢肿瘤 骨样骨瘤 CT引导 微波消融 微创 

分 类 号：R738.1[医药卫生—肿瘤]