开放手术与CT引导下微创射频消融手术治疗骨样骨瘤的效果  

Effect of Open Surgery and CT-Guided Minimally Invasive Radiofrequency Ablation in the Treatment of Osteoid Osteoma

作　　者：张超[1] 李甲振[1] 张岩[1] 卢新昌[1] 刘永奎[1] 张翼[1] 李哲[1] ZHANG Chao;Li Jiazhen;ZHANG Yan;LU Xinchang;LIU Yongkui;ZHANG Yi;LI Zhe(The Third Department of orthopedic,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院骨三科,河南郑州450000

出　　处：《河南医学研究》2022年第11期1977-1980,共4页Henan Medical Research

摘　　要：目的比较开放手术与CT引导下微创射频消融手术治疗骨样骨瘤的临床效果。方法回顾性收集2017年6月至2020年2月在郑州大学第一附属医院治疗的55例骨样骨瘤患者临床资料,按手术方式将患者分为开放手术组(30例)和微创消融组(25例),开放手术组接受开放手术方式治疗,微创消融组接受CT引导下微创射频消融手术治疗。比较两组术后病理结果、手术时间、手术出血量、术后住院时间,比较治疗前和治疗后72h、1周及1、6、12个月的视觉模拟量表(VAS)评分、并发症和复发情况。结果两组术后活检成功率比较,差异有统计学意义(P<0.05);微创消融组手术时间、术后住院时间均短于开放手术组,手术出血量少于开放手术组(P<0.001);开放手术组有3例严重并发症(骨折)和3例复发,微创消融组无严重并发症及复发,微创消融组术后出现并发症或复发的概率低于开放手术组(P<0.05);术后72h、1周及1、6个月,微创消融组术后VAS评分低于开放手术组(P<0.05)。结论CT引导下微创射频消融术治疗骨样骨瘤在手术时间、手术出血量、住院和康复时间、术后并发症或复发等方面较开放手术组有明显优势,可以优先考虑CT引导下微创射频消融术作为治疗骨样骨瘤的方法。Objective To compare the clinical effecty of open surgery and CT-guided minimally invasive radiofrequency ablation in the treatment of osteoid osteome.Methods From June 2017 to February 2020,the clinical data of 55 patients with osteoid osteoma in the First Affiliated Hospital of Zhengzhou University were retrospectively collected.The patients were divided into open surgery group(30 cases)and minimally invasive ablation group(25 cases)according to the surgical method.The patients in open surgery group were treated with open surgery,and the patients in minimally invasive ablation group were treated with CT-guided minimally invasive radiofrequency ablation.The postoperative pathological results,operation time,surgical blood loss and postoperative hospital stay were compared between the two groups.The visual analog scale(VAS)scores,complications and recurrence were compared before treatment and at 72 h,1 week,and 1,6,and 12 months after treatment.Results There was statistical difference in postoperative pathological results between the two groups(P<0.05).The operation time,surgical blood loss and postoperative hospital stay in the minimally invasive ablation group were lower than those in the open surgery group(P<0.001).There were 3 cases of serious complications(fracture)and 3 cases of recurrence in the open surgery group,but no serious complications and recurrence in the minimally invasive ablation group.The probability of postoperative complications or recurrence in the minimally invasive ablation group was lower than that in the open surgery group(P<0.05).At 72 h,1 week and 1,6 months after operation,the VAS score of postoperative pain in the minimally invasive ablation group was lower than that in the traditional group.Conclusion CT-guided minimally invasive radiofrequency ablation for osteoid osteoma has obvious advantages over the open surgery group in terms of operation time,surgical blood loss,postoperative hospital stay and recovery time,postoperative complications or recurrence.CT-guided minimally invasiv

关 键 词：骨样骨瘤 射频消融术 开放手术 微创 

分 类 号：R738.1[医药卫生—肿瘤]