摘要
目的探讨X线透视机引导下经皮椎体成形术(PVP)治疗胸、腰椎椎体转移瘤的疗效。方法在X线透视机引导下,对81例胸、腰椎椎体转移瘤患者的101个椎体实施PVP,对比观察实施PVP前、后患者生活质量、骨痛评分、脊柱稳定性的改变以及并发症。结果 PVP治疗前、后生活质量及骨痛评分差异均有统计学意义(P<0.05)。PVP治疗后脊柱稳定。术后6例9椎发生骨水泥渗漏,但未出现临床症状。无骨水泥毒副反应、肺栓塞、感染和神经损伤等并发症的发生。结论 X线透视机引导下PVP是一种治疗胸、腰椎椎体转移瘤较为有效的方法。
Objective To study the curative effects of treating vertebral metastatic tumors of thoracic and lumbar with percutaneous vertebroplasty（PVP） guided by fluoroscopy.Methods The 101 vertebras of 81 cases with vertebral metastatic tumors of thoracic and lumbar were treated with PVP guided by fluoroscopy.The comparative observation on life quality,therapeutic response,stabilization of the vertebral column and complications were analyzed before and after the PVP.Results The significant changes in the life quality and score of bone pain were observed before and after treatment（P 0.05）.The stabilization of the vertebral column is stable.Meanwhile,after the PVP,bone cement leakage happened in 9 vertebras of 6 cases and no other complications such as pulmonary embolism,infection occurred.Conclusion PVP guided by fluoroscopy is an excellent therapeutic method for patients with vertebral metastatic tumors of thoracic and lumbar.
出处
《肿瘤基础与临床》
2010年第4期329-331,共3页
journal of basic and clinical oncology
关键词
经皮椎体成形术
椎体转移瘤
X线透视机
percutaneous vertebroplasty
metastatic vertebral body tumor
skiascope
