目的 回顾性分析射频消融和开放手术治疗儿童股骨骨样骨瘤的临床效果。方法 选择2010-04至2023-02首都医科大学附属北京儿童医院骨科收治的股骨骨样骨瘤(术后病理证实)患者24例,其中射频消融组11例(男8例,女3例),开放手术组13例(男9例,女4例),收集患者临床资料包括年龄,性别,随访时间,术前,术后3 d和末次随访疼痛评分,手术时长,住院时长,出血量,术中CT扫描次数;影像资料包括术前瘤体直径及末次随访有无复发灶。对比治疗效果。结果 射频消融组和开放手术组患者手术出血量分别为(1.73±1.19)ml 和(12.31±5.99)ml,住院时长分别为(8.27±1.27)d 和(12.23±1.88)d,术中CT扫描次数分别为(1.64±0.81)次和(0.31±0.48)次,术后3 d VAS评分分别为(1.73±0.65)和(3.62±0.87),上述差异均有统计学意义(P＜0.05)。射频消融组有1例发生轻度热损伤,开放手术组有1例术后复发。结论 与开放手术相比,射频消融治疗儿童股骨骨样骨瘤有出血少、住院时间短,疼痛症状缓解快等优点,值得推广,但应注意避免热损伤的发生。
Abstract
Objective To retrospectively analyze the clinical effect of radiofrequency ablation and open surgery in the treatment of children with osteoid osteoma of femur. Methods A total of 24 patients with osteoid osteoma of femur (confirmed by postoperative pathology) admitted to the Department of Orthopedics, Beijing Children's Hospital Affiliated to Capital Medical University from April 2010 to February 2023 were selected, including 11 patients (8 males and 3 females) in the radiofrequency ablation group and 13 patients (9 males and 4 females) in the open surgery group. Clinical data of the patients were collected, including age, gender, follow-up time, pain scores before, 3 days after and at the last follow-up, duration of operation, length of stay, amount of blood loss, and number of intraoperative CT scans. Imaging data included preoperative tumor diameter and recurrence at last follow-up. Treatment effect was compared. Results The amount of surgical bleeding in the radiofrequency ablation group and the open surgery group was (1.73±1.19) ml and (12.31±5.99) ml, and the length of hospitalization was (8.27±1.27) d and (12.23±1.88) d, respectively. The number of intraoperative CT scans was (1.64±0.81) and (0.31±0.48), respectively, and the VAS scores at 3 days after surgery were (1.73±0.65) and (3.62±0.87), respectively, with statistical significance (P<0.05). There was 1 case of mild heat injury in the radiofrequency ablation group and 1 case of postoperative recurrence in the open surgery group. Conclusions Compared with open surgery, radiofrequency ablation for osteoid osteoma of femur in children has the advantages of less bleeding, shorter hospital stay and earlier recovery of pain symptoms, which is worthy of promotion. However, attention should be paid to avoid the occurrence of heat injury.
关键词
射频消融 /
儿童 /
股骨 /
骨样骨瘤 /
效果
Key words
radiofrequency ablation /
children /
femur /
osteoid osteoma /
effect
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