[1]谢 坪,李 刚. 经皮椎体成形术治疗脊柱转移性肿瘤即时及中远期疗效评价[J].介入放射学杂志,2013,(09):772-775.
 XIE Ping,LI Gang.. Percutaneous vertebroplasty for metastatic tumors of spine: an evaluation of immediate and long?蛳 term efficacy[J].journal interventional radiology,2013,(09):772-775.
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 经皮椎体成形术治疗脊柱转移性肿瘤即时及中远期疗效评价 ()

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

卷:
期数:
2013年09期
页码:
772-775
栏目:
临床研究
出版日期:
2013-09-19

文章信息/Info

Title:
 Percutaneous vertebroplasty for metastatic tumors of spine: an evaluation of immediate and long?蛳 term efficacy
作者:
 谢 坪 李 刚
Author(s):
 XIE Ping LI Gang.
 Department of Radiology, Sichuan Provincial People’s Hospital, Sichuan Medical Science Academy, Chendu, Sichuan Province 610072, China
关键词:
 【关键词】  椎体转移瘤 经皮椎体成形术 骨水泥
文献标志码:
A
摘要:
 【摘要】 目的 应用经皮椎体成形术(PVP)治疗椎体转移性骨肿瘤所致顽固性疼痛,评价手术安全性以及即时和中长期疗效。方法  对47例转移性骨肿瘤患者行PVP,病变椎体节段共64节。其中5例患者术中行组织学活检。PVP术前1 d、术后1 d及随访期(3 ~ 12个月)分别采用视觉模拟评分(VAS)评估临床疼痛程度。术中、术后观察记录可能并发症。结果  64节椎体均成功施行PVP术,手术成功率100%。术前VAS平均评分8.4 ± 1.4,术后1 d降至3.1 ± 2.3(P < 0.01),术后随访期为3.3 ± 1.7(P < 0.01)。术后影像学(CT、DSA、3D CT)证实骨水泥(聚甲基丙烯酸甲脂, PMMA)渗漏35例,其中椎旁软组织渗漏 15例,椎间盘渗漏11例,椎管内硬膜囊外漏4例,椎体引流静脉瘘5例。无严重危急生命并发症发生。结论  对椎体转移性骨肿瘤患者施行PVP安全、能获得良好的即刻及中长期镇痛效果,骨水泥渗漏是最常见并发症,症状性并发症发生率低。 

参考文献/References:

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备注/Memo

备注/Memo:
 (收稿日期:2013-03-27)
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