脊柱转移是癌症患者最常见的发病来源。最近,微波消融在脊柱转移瘤的治疗中取得了满意的效果。然而,在临床治疗方面仍然存在争议,如指示,电源,时间,和温度。为了规范微波消融技术的应用,降低脊柱转移瘤手术相关并发症的风险,在这份报告中,我们旨在总结微波消融的现有证据和临床经验,并制定临床指南,由中国抗癌协会肿瘤微创治疗委员会肌肉骨骼肿瘤组发起。建议评估的分级,发展,采用评估(GRADE)方法对证据质量和建议强度进行评级,严格遵循医疗保健实践指南(RIGHT)清单的报告项目报告指南。最后,根据整形外科医生最关心的15个临床问题,制定了15个循证建议,肿瘤学家,和中国的介入放射科医生。本指南旨在促进微波消融治疗脊柱转移瘤的科学规范化。
Spinal metastases are the most common source of morbidity in patients with cancer. Recently, microwave ablation has produced satisfactory results in the management of spinal metastases. However, there is still controversy in terms of clinical treatment, such as indication, power, time, and temperature. To standardize the application of microwave ablation technology and reduce the risk of surgical-related complications in spinal metastases, in this report, we aimed to summarize the current evidence and clinical experience of microwave ablation and developed a clinical
guideline, initiated by the Musculoskeletal Tumor Group of the Committee for Minimally Invasive Therapy in Oncology of the Chinese Anti-Cancer Association. The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach was used in to rate the quality of evidence and the strength of recommendations, and the Reporting Items for Practice
Guidelines in Healthcare (RIGHT) checklist was strictly followed to report the
guideline. Finally, 15 evidence-based recommendations were formulated based on the 15 most concerned clinical questions among orthopedic surgeons, oncologists, and interventional radiologists in China. This
guideline aims to promote the science-based normalization of microwave ablation for the treatment of spinal metastases.