[1]徐云华,倪才方,陈 珑,等.经皮椎体成形术治疗不同类型疼痛性脊柱转移癌[J].介入放射学杂志,2014,(02):122-125.
 XU Yun? hua,NI Cai? fang,CHEN Long,et al. Percutaneous vertebroplasty for the treatment of painful metastatic spinal lesions of different types[J].journal interventional radiology,2014,(02):122-125.
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经皮椎体成形术治疗不同类型疼痛性脊柱转移癌 ()

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

卷:
期数:
2014年02期
页码:
122-125
栏目:
肿瘤介入
出版日期:
2014-02-28

文章信息/Info

Title:
 Percutaneous vertebroplasty for the treatment of painful metastatic spinal lesions of different types
作者:
 徐云华 倪才方 陈 珑 刘一之 金永海 朱晓黎 邹建伟
Author(s):
 XU Yun?蛳 hua NI Cai?蛳 fang CHEN Long LIU Yi?蛳 zhi JIN Yong?蛳 hai ZHU Xiao?蛳 li ZOU Jian?蛳 wei.
 Department of Interventional Radiology, the First Affiliated Hospital of Soochow University, Suzhou, Jiangsu Province 215006, China
关键词:
 【关键词】 经皮椎体成形术 骨水泥 脊柱转移肿瘤
文献标志码:
A
摘要:
 【摘要】 目的 评估经皮椎体成形术(PVP)治疗溶骨性、成骨性和混合性疼痛性脊柱转移癌的疗效、并发症及相关技术。方法 回顾性分析148例患者148个单椎体接受PVP治疗的椎体转移癌病例。根据病变椎体治疗前的CT表现,将其分为溶骨性(A组)、成骨性(B组)和混合性(C组)椎体转移癌3组。记录各组椎体术中所用透视时间、骨水泥用量及骨水泥渗漏情况。记录各组患者治疗前后的VAS评分。结果 A组86例,B组15例,C组47例患者接受了PVP治疗。A、B、C 3组有效止痛率分别为81.4%(70/86)、80.0%(12/15)和80.9%(38/47),χ2 = 0.019,P = 0.991、P > 0.05。3组每个椎体的平均透视时间分别为(8.5 ± 1.9)min、(14.4 ± 2.5)min和(8.3 ± 1.7)min,经方差分析F = 63.073、P = 0.000;个椎体骨水泥用量分别为(3.36 ± 0.96)ml、(2.60 ± 0.89)ml和(3.23 ± 0.94)ml,F = 4.126,P = 0.018、P < 0.05;骨水泥渗漏率分别为27.9%(24/86)、20.0%(3/15)、25.5%(12/47),χ2 = 0.435,P = 0.804、P > 0.05。结论 PVP治疗不同类型椎体转移癌的止痛效果满意,并发症少。但其在成骨性病变的治疗中操作技术相对复杂,需注意穿刺技巧并控制骨水泥用量。

参考文献/References:

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备注/Memo

备注/Memo:
 (收稿日期:2013-11-11)
更新日期/Last Update: