西北国防医学杂志2012，Vol.33Issue(1)：10-12,3.
CT引导经皮椎体成形术治疗椎体转移瘤
Clinical value of percutaneous vertebroplasty for the treatment of vertebral metastases under CT guidance
蔡宏懿 1朱世军 2柴文晓 2缪国英 1马文1
作者信息
- 1. 甘肃省人民医院放疗科,甘肃兰州730000
- 2. 靖远煤业集团总医院放射科
- 折叠
摘要
Abstract
Objective;To retrospectively evaluate the efficacy and safety of percutaneous vertebroplasty (PVP) in the treatment of vertebral tumors under CT guidance. Methods; From October 2008 to October 2010, 27 patients with vertebral metastases were treated by PVP under CT guidance. Thirty - six vertebroplasties were performed in 18 males and 9 female patients. Before the operation, all patients had severe back pain with average VAS scores at 9. 1, there were 2 cases of spinal cord compression, 3 cases of grade C and 4 cases of grade D according to Frankel classification. The clinical effect and complications were observed after the operation. Results; All 36 vertebral bodies was punctured successfully at one time. The efficacious rate and complete remission rate of back pain after PVP were 88.4% and 27.9% , respectively. There was significant difference in VAS score before and after operation (2. 5 ± 1. 6 vs 7. 4 ± 1. 3 ) ( P < 0. 01 ). The patients were followed up for 7 to 24 months ( median 10. 8 months) , they all had significant improvement in clinical condition (P<0. 01). The main complication was bone cement leakage (25% ), but no serious complication occurred. Conclusion; Percutaneous vertebroplasty is a safe and effective procedure which relieve back pain and improve life quality for the patients with vertebral metastatic tumor.关键词
椎体转移性肿瘤/CT/经皮椎体成形术Key words
Vertebral metastatic tumor/CT/Percutaneous vertebroplasty分类
医药卫生引用本文复制引用
蔡宏懿,朱世军,柴文晓,缪国英,马文..CT引导经皮椎体成形术治疗椎体转移瘤[J].西北国防医学杂志,2012,33(1):10-12,3.
