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Dergiler / Bezmiâlem Science / 2021 / Cilt: 9 - Sayı: 2

Effectiveness of Radiofrequency Ablation Therapy in Osteoid Osteoma: Our 5 Years Experience

Radyofrekans Ablasyon Tedavisinin Osteoid Osteomadaki Etkinliği: 5 Yıllık Tecrübemiz

Temel Fatih YILMAZ
Sayfa
148–152
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

RFA should be the method of choice for the treatment of osteoid osteoma.

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Amaç & Hipotez:Objective: To evaluate the results of treatment with computed tomography (CT) guided percutaneous radiofrequency ablation (RFA) for osteoid osteomas (OO) and to evaluate imaging findings.
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Temel Bulgular & Veri:Methods: Sixty-three patients (18 female, 45 male) with OO included.
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Sonuç & Katkı:RFA should be the method of choice for the treatment of osteoid osteoma.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Özet

Objective: To evaluate the results of treatment with computed tomography (CT) guided percutaneous radiofrequency ablation (RFA) for osteoid osteomas (OO) and to evaluate imaging findings. Methods: Sixty-three patients (18 female, 45 male) with OO included. Patients were diagnosed by clinic and radiologic findings. Mean age was 18.2 (4-51). Ablation was performed under sedoanalgesia and local anestesia in CT room. Eleven-fifteen gauge coaxial needle was introduced to nidus and 17 gauge RF probe was placed to nidus trough coaxial system. Ablation duration was 6 minutes. Results: Mean nidus size was measured as 8.3 mm (2-16 mm). As a result of statistical analysis, as the size of the nidus increased, the chance of detecting nidus increased on both plain radiography and magnetic resonance imaging (p<0.001). In 63 patients who underwent RFA, only 3 patients were operated for relapse. One patient received RFA for the second time because of recurrence. Our primary success rate in the treatment of osteoid osteoma was 93.6% (59/63) and overall success rate was 95.4%. Conclusion: RFA is a minimally invasive, safe and effective treatment option and has many advantages in the treatment of osteoid osteoma. RFA should be the method of choice for the treatment of osteoid osteoma.

Abstract

Amaç: Osteoid osteomlar (OO) için bilgisayarlı tomografi (BT) eşliğinde perkütan radyofrekans ablasyon (RFA) ile tedavi sonuçlarını değerlendirmek ve görüntüleme bulgularını değerlendirmek. Yöntemler: OO tanısı olan 63 hasta (18 kadın, 45 erkek) çalışmaya dahil edildi. Hastalara klinik ve radyolojik bulgular ile tanı konuldu. Yaş ortalaması 18,2 (4-51) idi. BT odasında sedoanaljezi ve lokal anestezi altında ablasyon yapıldı. On bir-on beş gauge koaksiyel iğne nidusa yerleştirildi. Koaksiyel sistem içerisinden 17 gauge RF probu lezyona ulaştırıldı. Ablasyon süresi 6 dakika idi. Bulgular: Ortalama nidus boyutu 8,3 mm (2-16 mm) olarak ölçüldü. İstatistiksel analiz sonucunda, nidusun boyutu arttıkça, hem düz radyografi hem de manyetik rezonans görüntülemede nidus saptama şansı artmıştır (p<0,001). RFA uygulanan 63 hastada sadece 3 hasta nüks için opere edildi. Bir hasta rekürrens nedeniyle ikinci kez RFA aldı. Osteoid osteoma tedavisinde primer başarı oranımız %93,6 (59/63) ve genel başarı oranımız %95,4 idi. Sonuç: RFA minimal invaziv, güvenli ve etkili bir tedavi seçeneğidir ve osteoid osteomanın tedavisinde birçok avantaja sahiptir. RFA, osteoid osteomanın tedavisi için tercih edilen yöntem olmalıdır

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Bu Makaleye Atıf Yap

YILMAZ, T. F. (2021). Effectiveness of Radiofrequency Ablation Therapy in Osteoid Osteoma: Our 5 Years Experience. Bezmiâlem Science, Cilt: 9 - Sayı: 2, 148–152. https://ajindex.com/articles/212322

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