微波天线阵列原位灭活技术联合钢板内固定治疗胫骨近端骨巨细胞瘤
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摘要
目的观察微波天线阵列原位灭活联合钢板内固定治疗胫骨近端骨巨细胞瘤的临床疗效。方法回顾性分析2011-02/2018-05月采用微波天线阵列原位灭活联合钢板内固定治疗胫骨近端骨巨细胞瘤26例患者临床资料,根据膝关节评分表标准,对术后随访患者进行评分以观察临床疗效。结果本组26例患者术后均获得随访,随访24～63个月,平均40.6个月,未出现手术切口感染,未见复发及其他并发症。末次随访膝关节评分(87.4±5.3)分,功能评分(91.1±2.7)分。结论微波天线阵列原位灭活治疗胫骨近端骨巨细胞瘤临床疗效满意,是一种可靠的治疗方法。
Objective To observe the clinical efficacy of microwave antenna array in situ inactivation combined with internal fixation in treating osteoclastoma of proximal tibial. Methods A total of 26 cases of osteoclastoma of proximal tibial were treated by microwave antenna array in situ inactivation combined with internal fixation from February 2011 to May 2018 were analyzed. The knee score scale scores of patients were observed for clinical efficacy evaluation postoperative follow-up. Results All patients were followed up for 24-63 months with an average of 40. 6 months. No surgical wound infection, recurrence cases and other complications happened. The knee score was(87. 4 ±5. 3),and function score was(91. 1 ± 2. 7) at the last follow-up. Conclusion Microwave antenna array in situ inactivation combined with internal fixation is a safe and effective method for patients with osteolastoma of proximal tibial,which is a reliable method.
Objective To observe the clinical efficacy of microwave antenna array in situ inactivation combined with internal fixation in treating osteoclastoma of proximal tibial. Methods A total of 26 cases of osteoclastoma of proximal tibial were treated by microwave antenna array in situ inactivation combined with internal fixation from February 2011 to May 2018 were analyzed. The knee score scale scores of patients were observed for clinical efficacy evaluation postoperative follow-up. Results All patients were followed up for 24-63 months with an average of 40. 6 months. No surgical wound infection, recurrence cases and other complications happened. The knee score was(87. 4 ±5. 3),and function score was(91. 1 ± 2. 7) at the last follow-up. Conclusion Microwave antenna array in situ inactivation combined with internal fixation is a safe and effective method for patients with osteolastoma of proximal tibial,which is a reliable method.
引文
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[3]Maciolek KA,Abel EJ,Best SL,et al.Percutaneous microwave ablation for local control of metastatic renal cell carcinoma[J].Abdom Radiol(NY),2018,43(9):2446-2454
[4]Zhao Q,Qu X,Liu K,et al.Microwave ablation combined with attenuated Salmonella typhimurium for treating hepatocellular carcinoma in a rat model[J].Oncotarget,2017,8(29):47655-47664
[5]Qi H,Zhang H,Wan C,et al.CT-guided microwave ablation through the lungs for treating liver tumors near the diaphragm[J].Oncotarget,2017,8(45):79270-79278
[6]Sebek J,Curto S,Bortel R,et al.Analysis of minimally invasive directional antennas for microwave tissue ablation[J].Int J Hyperthermia,2017,33(1):51-60
[7]曲华毅,郭卫,杨荣利,等.四肢骨巨细胞瘤局部灭活方法的评价[J].中国骨与关节杂志,2016,5(1):36-43
[8]Al-Qattan MM,Al-Lazzam AM,Al Thunayan A,et al.Classification of benign fatty tumours of the upper limb[J].Hand Surg,2005,10(1):43-59
[9]Cook GJ,Gnanasegaran G,Chua S.Miscellaneous indications in bone scintigraphy:metabolic bone diseases and malignant bone tumors[J].Semin Nucl Med,2010,40(1):52-61
[10]Galvez-Monton C,Arauz-Garofalo G,Rodriguez-Leor O,et al.Ex vivo assessment and in vivo validation of non-invasive stent monitoring techniques based on microwave spectrometry[J].Sci Rep,2018,8(1):14808
[11]Sivagami K,Padmanabhan K,Joy AC,et al.Microwave(MW)remediation of hydrocarbon contaminated soil using spent graphite-An approach for waste as a resource[J].J Environ Manage,2019,230(15):151-158
[12]Yang C,Zhu H,Wu S,et al.Correlations between B-mode ultrasonic image texture features and tissue temperature in microwave ablation[J].J Ultrasound Med,2010,29(12):1787-1799
[13]Ritacco LE,Aponte-Tinao LA,Muscolo DL,et al.In Vitro Comparative Study Between Conventional and Computer-Assisted Surgery Methods for Planning and Resection of Bone Sarcomas[J].Stud Health Technol Inform,2017,245(13):1375
[14]Shehadeh A,Noveau J,Malawer M,et al.Late complications and survival of endoprosthetic reconstruction after resection of bone tumors[J].Clin Orthop Relat Res,2010,468(11):2885-2895
[15]罗国仕,涂明利,杜春玲,等.胸腔镜介导下微波和钳夹治疗多房性结核性胸腔积液[J].华南国防医学杂志,2009,23(3):59-62
[16]Bartoletti R,Cai T,Tosoratti N,et al.In vivo microwave-induced porcine kidney thermoablation:results and perspectives from a pilot study of a new probe[J].BJU Int,2010,106(11):1817-1821
[17]Schmidt FE,Jenkins MD,Watanabe K.A ballistic graphene superconducting microwave circuit[J]Nat Commun,2018,9(1):4069
[18]Isfort P,Penzkofer T,Pfaff E,et al.Silicon carbide as a heatenhancing agent in microwave ablation:in vitro experiments[J].Cardiovasc Intervent Radiol,2011,34(4):833-838