运用不同术式治疗椎体骨转移瘤效果的分析  

The Comparison of Therapeutic Efficency between Two Methods in Treatment of Vertebral Bone Metastases

作　　者：刘建强[1,2] 段德臣 孙广智[1,2] 李季 刘宏宇[1,2] 窦爱霞 

机构地区：[1]山东泰山医学院第二附属医院 [2]济南第四人民医院骨科,济南250033 [3]山东大学第二医院,济南250033

出　　处：《生物医学工程研究》2013年第1期46-48,64,共4页Journal Of Biomedical Engineering Research

摘　　要：探讨椎体骨转移瘤运用微创介入的经皮穿刺椎体成形术与钉棒联合骨水泥成形术治疗效果。50例椎体骨转移瘤患者为我院2009年1月～2011年12月间收治,均为骨痛入院。随机分为A组与B组各25例,A组选择经皮穿刺椎体成形术治疗,B组选择传统钉棒联合骨水泥成形术治疗。两组疗效相当,椎体后凸角、椎体前缘高度压缩率、椎体后缘高度压缩率对比,无明显差异,P>0.05;术后1周疼痛缓解率比较,P<0.05。骨水泥微创介入疗法与钉棒联合骨水泥成形术治疗均可以有效治愈骨转移瘤骨痛,但骨水泥微创介入疗法具有微创,操作简单、迅速缓解疼痛等优点,更适合降低并发症、减少患者痛苦。To compare the therapeutic efficacy of percutaneous venebroplasty(PVP) and pedicle screw instrumentation combined with bone cement on Vertebral Bone Metastases.50 cases of vertebral bone metastases patients were chosen and divided into group A and group B randomly,25 cases for each group.Patients of group A received treatment of PVP,and patients of group B received traditional treatment of pedicle screw instrumentation combined with bone cement.The therapeutic effect of two groups were consistent,from the average kyphosis angle,the anterior vertebral height of compression ratio and the rear vertebral height of compression ratios,there were no statistical difference between two groups,P>0.05.There was significant difference in the postoperative pain relief rate of 1 week between the two groups,P<0.05.Both of PVP and pedicle screw instrumentation combined with bone cement can effectively cure bone metastatic bone pain,but PVP therapy has the advantages of minimally invasive,simple operation,and the rapid pain relief.

关 键 词：椎体 骨转移瘤 经皮穿刺椎体成形术 骨水泥 钉棒联合骨水泥成形术 

分 类 号：R318[医药卫生—生物医学工程]