Effect of arterial chemoembolization combined with percutaneous osteoplasty on ilium metastases
Objective To investigate the efficacy and safety of arterial chemoembolization combined with percutaneous osteoplasty in the treatment of ilium metastases.Methods Retrospective analysis was performed on the clinical data of 32 patients with iliac bone metastases who received sequential treatment of transarterial chemoembolization combined with percutaneous osteoplasty in the Department of Comprehensive Intervention of Henan Provincial People's Hospital from May 2017 to May 2023.All patients were followed up for at least 3 months.Karnofsky functional status score,visual analogue scale(VAS)score and solid tumor evaluation criteria(RECIST1.1)were used to evaluate the efficacy.Results At 1 month and 3 months after surgery,there were significant differences in Karnofsky functional status scores and VAS scores compared with those before surgery(P＜0.05).The disease control rate was 87.5％at 1 month and 84.4％at 3 months.Bone cement leakage occurred in 6 cases,including para-iliac soft tissue in 4 cases and peri-iliac blood vessels in 2 cases,all of which had no clinical symptoms.No major bleeding occurred in all patients during operation.Conclusions Transcatheter arterial chemoembolization combined with percutaneous osteoplasty has a better effect and safety for ilium metastasis treatment.
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