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γ探针引导下骨肿瘤切除术及术后疼痛评估

Resection of Bone Tumor Guided by Gamma Probe and Evaluation of Postoperative Pain.

作者信息

Gomes Alberto Ramos, Quatrin Felipe Younes, Becker Nadiane Maciel, Zanella Ruan Carlo, Rocha Thércio Murilo Souza

机构信息

Onco-ortopedia, Fundação Hospitalar de Blumenau, Hospital Santo Antônio, Blumenau, SC, Brasil.

Departamento de Ortopedia e Traumatologia, Hospital Santo Antônio, Blumenau, SC, Brasil.

出版信息

Rev Bras Ortop (Sao Paulo). 2020 Feb;55(1):115-120. doi: 10.1055/s-0039-1700818. Epub 2019 Dec 19.

Abstract

Osteoid osteoma is a benign neoplasm commonly found in young men, but that can be found in every age, which affects mainly long bones, clinically characterized by continuous and limiting pain that is relieved by salicylates. It is a small lesion composed of immature osteoid tissue, central hypervascularization and surrounding sclerotic area. Its diagnosis is performed by the clinic and aided by imaging tests, such as common radiography and computed tomography. Radiography shows a central radiolucent lesion and peripheral sclerosis. The biopsy takes place only in cases of diagnostic doubt. Surgical treatment involves resection of the niche, providing greater symptomatic relief, as well as percutaneous techniques. The technique of radioisotope-guided resection has good acceptance in the scientific community for its fast surgical procedure directed to the lesion; however, the percutaneous technique that stands out is radiofrequency ablation. In the present study, all of the patients submitted to the technique presented total improvement of the pain.

摘要

骨样骨瘤是一种常见于年轻男性的良性肿瘤,但各年龄段均可发生,主要累及长骨,临床特征为持续性局限性疼痛,服用水杨酸盐后可缓解。它是一种由不成熟骨样组织、中央血管增多和周围硬化区域组成的小病灶。其诊断依靠临床症状,并借助影像学检查,如普通X线摄影和计算机断层扫描。X线摄影显示中央透亮病灶和周边硬化。仅在诊断存疑的情况下才进行活检。手术治疗包括切除瘤巢,可显著缓解症状,也可采用经皮技术。放射性同位素引导下的切除技术因其针对病灶的快速手术过程而在科学界获得广泛认可;然而,突出的经皮技术是射频消融。在本研究中,所有接受该技术治疗的患者疼痛均完全缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa8b/7048569/3e5e4ae0f57c/10-1055-s-0039-1700818-i180016en-1.jpg

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