中国组织工程研究2017，Vol.21Issue(27)：4379-4384,6.DOI:10.3969/j.issn.2095-4344.2017.27.020
CT引导下骨水泥灌注治疗髂骨转移瘤
CT-guided bone cement infusion for metastatic tumor to the ilium
摘要
Abstract
BACKGROUND: Iliac bones are common habitant parts in metastatic tumor of bone, and the affiliate cortex is easy to be penetrated into soft tissue blots. The irregular iliac shape and its complex surrounding tissues create the difficulties in puncture operations and cement perfusion.OBJECTIVE: To investigate the clinical outcomes of CT-guided versus DSA-guided puncture combined with bone cement perfusion for metastatic tumor to the ilium.METHODS: Sixty-four patients with metastatic tumor to the ilium udergoing bone cement perfusion were enrolled, and then divided into control and experimental groups (n=32 per group), followed by treated with DSA-guided percutaneous injection of bone cement, and CT-guided puncture, respectively. Subsequently, the diffuse distribution of bone cement was observed using CT. The success rate, leakage rate, Visual Analogue Scale scores and Oswestry Disability Index were compared between two groups.RESULTS AND CONCLUSION: (1) All patients received the surgery successfully, and bone cement leakage happened in two cases of control group and one case of experimental group. (1) The Visual Analog Scale and Oswestry Disability Index scores in the two groups were significantly better than those before treatment (P < 0.05), and the scores showed no significant differences between two groups (P > 0.05). (3) No difference was found in the pain relief and functional recovery between two groups. (4) To conclude, CT-guided treatment can achieve satisfactory outcomes for metastatic tumor to the ilium by bone cement infusion in appropriate time.关键词
骨科植入物/骨植入物/肿瘤/骨转移/溶骨性/穿刺/经皮骨成形术分类
医药卫生引用本文复制引用
宋蓬威,于杨,刘明镇,刘训伟,王志国,谢志勇..CT引导下骨水泥灌注治疗髂骨转移瘤[J].中国组织工程研究,2017,21(27):4379-4384,6.基金项目
国家高技术研究发展计划(863计划)资助(2013AA032203) （863计划）
国家自然科学基金资助(81671799) The National High-Tech Research and Development Program of China (863 Program), No. 2013AA032203 （81671799）
the National Natural Science Foundation of China, No. 81671799 （）
