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Percutaneous Endoscopic Excision and Ablation of Osteoid Osteoma of the Lumbar Spine and Sacrum: A Technical Note and Outcomes.

经皮内镜下切除和消融腰椎和骶骨骨样骨瘤: 技术注意事项和结果。

  • 影响因子:1.52
  • DOI:10.1016/j.wneu.2019.09.039
  • 作者列表:"Xie T","Xiu P","Song Y","Zeng J","Huang S
  • 发表时间:2020-01-01
Abstract

OBJECTIVE:This study aimed to present a new endoscopic technique for osteoid osteoma (OO) of the lumbar spine and sacrum and to evaluate its safety and effectiveness. METHODS:Eleven consecutive patients with spinal OO underwent percutaneous endoscopic excision and ablation (PEEA) between March 2014 and May 2018. A cannula 0.7 cm in diameter was used for the procedure. According to the size of the nidus, whole-piece removal and piecemeal intralesional resection were used. Afterward, ablation was performed using an endoscopic radiofrequency electrode in the residual osteoma cavities. Clinical outcomes were assessed by Visual Analog Scale (VAS) scores. The efficacy of this technique was assessed using relevant clinical data and postoperative radiographs. RESULTS:The niduses of the 11 patients were all located in the posterior element of the lumbar spine and sacrum (10 in the lumbar spine and 1 in the sacrum). The preoperative VAS score was 7.18 (range, 6-9), the score on postoperative day 1 was 1 (range, 0-2), and the last follow-up VAS score was 0.27 (range, 0-1). All patients were discharged within 24 hours after surgery. The mean follow-up period was 21.8 months (range, 12-36 months). No serious complications were observed during the follow-up period. CONCLUSIONS:PEEA is a safe and effective technique for OO in the lumbar spine and sacrum in which the nidus is located in the posterior element. However, it has a steep learning curve. Further research with a larger and more comprehensive sample population is warranted.

摘要

目的: 本研究旨在提出一种新的内窥镜技术治疗腰椎和骶骨骨样骨瘤 (OO),并评价其安全性和有效性。 方法: 2014 年 3 月至 2018 年 5 月,连续 11 例脊柱OO患者接受了经皮内镜下切除和消融 (PEEA) 治疗。使用直径为 0.7厘米的套管进行手术。根据病灶大小,采用整块切除和零块切除。随后,在残留骨瘤腔中使用内镜下射频电极进行消融。通过视觉模拟评分 (VAS) 评分评估临床结局。使用相关临床数据和术后x线片评估该技术的疗效。 结果: 1 1 例患者的niduses均位于腰椎和骶骨的后部 (1 0 例在腰椎,1 例在骶骨)。术前VAS评分为 7。1 8 (范围,6-9),术后第 1 天评分为 1 (范围,0-2),末次随访VAS评分为 0。2 7 (范围,0-1)。所有患者均在术后 24 h内出院。平均随访时间为 21.8 个月 (范围 12-36 个月)。随访期间未观察到严重并发症。 结论: PEEA是一种安全有效的治疗腰椎和骶骨后部病灶的技术。然而,它有一个陡峭的学习曲线。需要进行更大、更全面的样本人群的进一步研究。

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DOI:10.1177/1078155219842277
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骨肿瘤方向

骨肿瘤是发生于骨骼或其附属组织的肿瘤。有良性,恶性之分,良性骨肿瘤易根治,预后良好,恶性骨肿瘤发展迅速,预后不佳,死亡率高。

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