As an extension of percutaneous vertebroplasty(PVP), percutaneous osteoplasty(POP) refers broadly to percutaneous bone cement injected into various parts of the body and narrowly to cement injected into extraspinal bo...As an extension of percutaneous vertebroplasty(PVP), percutaneous osteoplasty(POP) refers broadly to percutaneous bone cement injected into various parts of the body and narrowly to cement injected into extraspinal bone lesions. POP mainly includes such surgeries as percutaneous sacroplasty, percutaneous acetabuloplasty, percutaneous femoral osteoplasty, and percutaneous iliac osteoplasty(Figure 1). Currently, POP is a positive and an effective treatment for extraspinal bone lesions in that it can rapidly relieve pain, effectively prevent pathological fractures, and partially inactivate tumors, with few complications. The aim of this review is to detail the POP techniques and report their safety and efficacy in the treatment of extraspinal metastases.展开更多
Objective: To assess the importance of incidental extraspinal findings on Magnetic Resonance Imaging of the lumbar spine in two hospital facilities. Materials and Methods: It was a descriptive and retrospective study ...Objective: To assess the importance of incidental extraspinal findings on Magnetic Resonance Imaging of the lumbar spine in two hospital facilities. Materials and Methods: It was a descriptive and retrospective study from November 2015 to March 2016. The records of patients who had done a Magnetic Resonance Imaging (MRI) scan of the lumbar spine were re-read in search of incidental findings. The incidental findings found were classified using Colonography Reporting and Data System(C-RADS) classification of extracolonic lesions to assess clinical significance. The prevalence of incidental findings was calculated for each facility, as well as the distribution according to age, the organs involved and the clinical importance. A non-detection rate was calculated by confronting the findings of the study with the original reports. Results: The prevalence of incidental findings was respectively 33% (19 out of 36) in Jordan Medical Center (JMC) in Yaounde and 27.74% (106 out of 292) in Jacques Monod Hospital. The extraspinal incidental findings were classified mainly as extracolonic 2 (E2): 58% in each facility. The percentage detection of incidental findings was 5% at JMS and 1.7% at Jacques Monod Hospital. Conclusion: Extraspinal incidental findings are frequent in both hospitals. However, the rate of detection remains very low.展开更多
目的探讨DSA引导下经皮骨成形术(POP)治疗椎体外转移性骨肿瘤的安全性及临床疗效。方法回顾性分析63例(91处病灶)行POP治疗的椎外骨转移性肿瘤患者。其中38例患者同时行射频消融术(RFA)。临床适应证为视觉模拟评分(VAS)高于3分,并对止...目的探讨DSA引导下经皮骨成形术(POP)治疗椎体外转移性骨肿瘤的安全性及临床疗效。方法回顾性分析63例(91处病灶)行POP治疗的椎外骨转移性肿瘤患者。其中38例患者同时行射频消融术(RFA)。临床适应证为视觉模拟评分(VAS)高于3分,并对止痛药耐受。所有患者至少随访3个月,通过术前、术后VAS评分及止痛药服用量的变化评价临床效果。结果所有患者手术均获得成功,技术成功率100%。术后24 h VAS评分由术前平均(7.2±1.4)分降至术后(2.4±1.9)分,术后3个月降至(1.9±1.7)分,术后6个月降至(1.7±1.6)分。术后10例患者(15.9%)疼痛完全缓解,36例(57.1%)完全不需止痛药,23例(36.5%)止痛药用量减少或止痛药级别降级,3例(4.8%)维持原剂量,1例(1.6%)使用止痛药级别升级。单独行POP与POP联合RFA治疗疼痛缓解程度的差异并无统计学意义(P=0.892)。13例(20.6%)发生肿瘤周围软组织骨水泥渗漏,但临床无明显症状;1例发生病理性骨折。结论 DSA引导下行POP治疗椎外转移性骨肿瘤临床效果良好、创伤小、并发症少。展开更多
基金sponsored by grant National Natural Scientific Fund of China [grant number 81701798]Natural Fund from Shanghai Science And Technology Commission [grant number 18ZR1429400]+1 种基金Shanghai Sailing Program [grant number 17YF1414600]Shanghai Jiao Tong University Affiliated Sixth People’s Hospital East Campus [grant number 2016014],China
文摘As an extension of percutaneous vertebroplasty(PVP), percutaneous osteoplasty(POP) refers broadly to percutaneous bone cement injected into various parts of the body and narrowly to cement injected into extraspinal bone lesions. POP mainly includes such surgeries as percutaneous sacroplasty, percutaneous acetabuloplasty, percutaneous femoral osteoplasty, and percutaneous iliac osteoplasty(Figure 1). Currently, POP is a positive and an effective treatment for extraspinal bone lesions in that it can rapidly relieve pain, effectively prevent pathological fractures, and partially inactivate tumors, with few complications. The aim of this review is to detail the POP techniques and report their safety and efficacy in the treatment of extraspinal metastases.
文摘Objective: To assess the importance of incidental extraspinal findings on Magnetic Resonance Imaging of the lumbar spine in two hospital facilities. Materials and Methods: It was a descriptive and retrospective study from November 2015 to March 2016. The records of patients who had done a Magnetic Resonance Imaging (MRI) scan of the lumbar spine were re-read in search of incidental findings. The incidental findings found were classified using Colonography Reporting and Data System(C-RADS) classification of extracolonic lesions to assess clinical significance. The prevalence of incidental findings was calculated for each facility, as well as the distribution according to age, the organs involved and the clinical importance. A non-detection rate was calculated by confronting the findings of the study with the original reports. Results: The prevalence of incidental findings was respectively 33% (19 out of 36) in Jordan Medical Center (JMC) in Yaounde and 27.74% (106 out of 292) in Jacques Monod Hospital. The extraspinal incidental findings were classified mainly as extracolonic 2 (E2): 58% in each facility. The percentage detection of incidental findings was 5% at JMS and 1.7% at Jacques Monod Hospital. Conclusion: Extraspinal incidental findings are frequent in both hospitals. However, the rate of detection remains very low.
文摘目的探讨DSA引导下经皮骨成形术(POP)治疗椎体外转移性骨肿瘤的安全性及临床疗效。方法回顾性分析63例(91处病灶)行POP治疗的椎外骨转移性肿瘤患者。其中38例患者同时行射频消融术(RFA)。临床适应证为视觉模拟评分(VAS)高于3分,并对止痛药耐受。所有患者至少随访3个月,通过术前、术后VAS评分及止痛药服用量的变化评价临床效果。结果所有患者手术均获得成功,技术成功率100%。术后24 h VAS评分由术前平均(7.2±1.4)分降至术后(2.4±1.9)分,术后3个月降至(1.9±1.7)分,术后6个月降至(1.7±1.6)分。术后10例患者(15.9%)疼痛完全缓解,36例(57.1%)完全不需止痛药,23例(36.5%)止痛药用量减少或止痛药级别降级,3例(4.8%)维持原剂量,1例(1.6%)使用止痛药级别升级。单独行POP与POP联合RFA治疗疼痛缓解程度的差异并无统计学意义(P=0.892)。13例(20.6%)发生肿瘤周围软组织骨水泥渗漏,但临床无明显症状;1例发生病理性骨折。结论 DSA引导下行POP治疗椎外转移性骨肿瘤临床效果良好、创伤小、并发症少。
文摘目的探讨DSA引导下射频消融术(radiofrequency ablation,RFA)联合经皮骨成形术(pecutaneous osteo-plasty,POP)治疗椎体外转移性骨肿瘤的手术方法及临床疗效。方法回顾性分析38例(54个病灶)行RFA联合POP治疗的椎外骨转移性肿瘤患者资料,年龄23～75岁,平均(52.6±12.2)岁。共54个转移灶得到治疗,其中髂骨24处、髋臼21处、股骨7处、坐骨1处、胫骨1处。所有患者至少随访3个月,通过术前、术后视觉模拟评分(vis-ual analog scale,VAS)、止痛药服用剂量的变化以及运动功能的改善情况评价临床效果。结果 38例手术均获得成功。术后24 h VAS评分由术前平均(7.1±1.5)分降至术后(2.2±2.0)分,术后3个月降至(1.6±1.8)分,术后6个月降至(1.3±1.8)分。术后7例(18.4%)疼痛完全缓解,25例(65.8%)完全无需止痛药,10例(26.3%)止痛药用量减少或止痛药级别降级,2例(5.3%)维持原剂量,1例(2.6%)使用止痛药级别升级。33例行走困难者中20例(60.6%)术后行动功能改善,其中4例可正常行走;12例(36.4%)仍然行走困难;1例(3%)行动不便加重,稍微活动即疼痛难忍。术后患者中位生存时间为15个月,1年生存率为68.9%,2年生存率为27.3%。8例(21.1%)发生肿瘤周围软组织骨水泥渗漏,但无明显临床症状,1例(2.6%)发生皮肤灼伤。结论 DSA引导下行RFA联合POP治疗椎外转移性骨肿瘤临床效果良好、创伤小、并发症少,可以明显提高患者生存质量。
