[1]王 涛,刘鹤飞,田庆华,等.经皮骶正中入路骶骨成形术治疗多节段骶骨体转移瘤[J].介入放射学杂志,2019,28(12):1171-1176.
WANG Tao,LIU Hefei,TIAN Qinghua,et al.Percutaneous sacroplasty via interpedicular approach for painful sacral metastases involving multiple sacral vertebral bodies [J].journal interventional radiology,2019,28(12):1171-1176.
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经皮骶正中入路骶骨成形术治疗多节段骶骨体转移瘤()
《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]
- 卷:
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28
- 期数:
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2019年12期
- 页码:
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1171-1176
- 栏目:
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临床研究
- 出版日期:
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2019-12-28
文章信息/Info
- Title:
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Percutaneous sacroplasty via interpedicular approach for painful sacral metastases involving multiple sacral vertebral bodies
- 作者:
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王 涛; 刘鹤飞; 田庆华; 吴春根; 程永德
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- Author(s):
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WANG Tao; LIU Hefei; TIAN Qinghua; WU Chungen; CHENG Yongde.
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Department of Radiology, East Branch of Affiliated Sixth People’s Hospital, Shanghai University of Medicine & Health Sciences, Shanghai 201306, China
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- 关键词:
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【关键词】 骶正中入路; 骶骨成形术; 转移瘤
- 文献标志码:
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A
- 摘要:
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【摘要】 目的 探讨经皮骶正中入路骶骨成形术治疗多节段骶骨体转移瘤的初步临床价值。方法 回顾性分析2017年3月到2018年9月收治11例经皮骶正中入路骶骨成形术治疗多节段骶骨体转移瘤患者,共实施11个节段22节骶骨体成形术。通过比较患者术前、术后视觉模拟评分(VAS)、止痛药用量和Oswesty功能障碍指数(ODI)评分的变化来评价疼痛、日常运动功能状况的改善情况。结果 11例患者手术均获得成功,3例患者发生少量骨水泥外渗,但无严重的临床症状。VAS评分由术前平均(7.09±1.30)分,术后24 h降为(2.82±1.33)分、术后3个月降为(2.64±1.50)分,术后6个月降为(2.45±1.44)(P<0.01)。术前ODI评分平均(74.91±5.47)分,术后24 h、3个月、6个月分别降为(29.27±13.86)分、(28.55±14.31)分和(27.82±14.51)分(P<0.01)。术后4例(36.4%)患者完全不需止痛药,6例(54.6%)止痛药用量减少或止痛药级别降级,1例(9.1%)止痛药维持原剂量。结论 经皮骶正中入路骶骨成形术治疗多节段骶骨体转移瘤是一种微创、安全、有效的方法。
参考文献/References:
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备注/Memo
- 备注/Memo:
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(收稿日期:2019- 02- 06)
(本文编辑:俞瑞纲)
更新日期/Last Update:
2019-12-27