[1]刘建新,李彪,武红斌.经皮椎体成形术治疗椎体转移瘤的临床应用[J].介入放射学杂志,2008,(11):817.
　LIU Jianxin,LI Biao,WU Hongbin.The clinical application of percutaneous vertebroplasty on bone metastatic tumor[J].journal interventional radiology,2008,(11):817.
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经皮椎体成形术治疗椎体转移瘤的临床应用()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2008年11期
页码:
817
栏目:
临床研究
出版日期:
2008-11-15

文章信息/Info

Title:
The clinical application of percutaneous vertebroplasty on bone metastatic tumor
作者:
刘建新; 李彪; 武红斌
０４６２０４山西潞安集团总医院
Author(s):
LIU Jian－xin; LI Biao; WU Hong－bin．
General Hospital of Shanxi Lu'an Group，Changzhi ０４６２０４，China
关键词:
椎体成形术; 椎体; 转移性肿瘤
分类号:
R６８３.２
文献标志码:
B
摘要:
目的探讨经皮椎体成形术（PVP）治疗椎体转移性肿瘤的骨水泥灌注量、灌注方法及临床疗效。方法对１５０例共２１８个椎体行椎体成形术，其中胸椎７３个椎体，腰椎１３８个椎体，骶椎７个椎体，共２１８个椎体。手术在DSA监视下进行。根据椎体形态、破坏范围及穿刺点位置选择进针途径。结果１５０例２１８个椎体手术全部成功，手术成功率１００％，胸椎注入骨水泥２～５ml ，平均３．５ml ；腰椎注入３～８ml ，平均５．５ml；骶椎４～７ml ，平均５．５ml 。术后疼痛完全缓解１３４例，８９．３％；部分缓解１５例，持续时间以及食管和吻合口的酸暴露时间均高于正常人。常规实验室检查包括肝、肾功能、血常规、出凝血时间等。１．１．３设备与材料１０％；无效１例，０．７％。１５０例中渗漏至椎间盘１２例，硬膜外囊１０例，椎旁静脉丛３例，椎旁软组织４例，骨水泥外漏发生率１３．３％。术中及术后均无并发症发生。结论经皮椎体成形术（PVP）对缓解或消除由椎体转移性肿瘤引起的疼痛有明显的治疗效果，值得临床应用推广。

参考文献/References:

［１］张祖建，张德军，廖正银，等．经皮椎体成形术治疗脊椎转移性肿瘤［J］．实用放射学杂志，２００７，２３：８７－８９．
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［６］陈颐，颜志平，王建华，等．透视导引下椎体成形术治疗伴有疼痛的转移性椎体肿瘤［J］．中国癌症杂志，２００７，１７：５６４－５６６．
［７］滕皋军，何仕成，郭金和，等．经皮椎体成形术治疗椎体良恶性病变的临床技术应用探讨［J］．中华放射学杂志，２００２，３６：２９５－２９９．

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备注/Memo

备注/Memo:
收稿日期：２００８－０４－１８
更新日期/Last Update: 2008-11-15