[1]张继,吴春根,程永德,等.经皮椎体成形术治疗症状性椎体血管瘤远期疗效分析[J].介入放射学杂志,2007,(10):676.
 ZHANG Ji,WU Chun-gen,CHENG Yong-de,et al.Long term follow-up study of symptomatic vertebral hemangiomas treated by percutaneous vertebroplasty[J].journal interventional radiology,2007,(10):676.
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经皮椎体成形术治疗症状性椎体血管瘤远期疗效分析()

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

卷:
期数:
2007年10期
页码:
676
栏目:
非血管介入
出版日期:
2007-10-15

文章信息/Info

Title:
Long term follow-up study of symptomatic vertebral hemangiomas treated by percutaneous vertebroplasty
作者:
张继吴春根程永德
200233上海交通大学附属第六人民医院放射科
Author(s):
ZHANG JiWU Chun-genCHENG Yong-deGU Yi-fengZHU Xue-e LI Ming-hua
Department of Radiology,Shanghai Sixth People's Hospital,Shanghai Jiaotong University,Shanghai200233,China
关键词:
血管瘤椎体经皮椎体成形术
分类号:
R683.2;R738.1
文献标志码:
A
摘要:
目的分析经皮椎体成形术治疗症状性椎体血管瘤的远期疗效。方法17例患者19处椎体血管瘤,13处椎体无压缩骨折,6处椎体已发生压缩骨折。17例患者均诉不同程度胸背部或腰部疼痛,其中5例发生压缩骨折的患者还伴有不同程度的神经功能缺陷(4例)或脊髓受压症状(2例)。在DSA监测下行经皮椎体成形术(PVP)。术后随访6~32个月,平均(15.8±8.7)个月。结果19处血管瘤椎体PVP均获得成功,术中每个椎体注射PMMA2~6ml,4例发生椎旁渗漏,2例发生硬膜外渗漏,但未出现明显的临床症状,1例椎体其上椎间盘发生渗漏。短期随访显示17例患者胸背部或腰部疼痛均有不同程度缓解,2例神经根或脊髓受压患者症状消失,其余3例患者症状仍存在。长期随访示2例患者疼痛加剧,系邻近椎体骨质疏松性压缩骨折引起。结论PVP是治疗症状性椎体血管瘤的一种安全、有效、创伤小的方法,远期疗效可靠。

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期:2007-01-31
基金项目:上海市优秀青年医学人才基金项目资助(编号:沪卫人(2004)80号)
更新日期/Last Update: 2007-10-15