经皮椎体成形术结合血管内化疗栓塞术治疗椎体恶性肿瘤  

Vertebral malignant tumors:treatment with vertebroplasty and endovascular chemoembolization

作　　者：何明基[1] 练辉[1] 申刚[1] 陈德基[1] 

机构地区：[1]广州医学院第二附属医院放射科,广东广州510260

出　　处：《中国介入影像与治疗学》2007年第5期329-331,共3页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的探讨经皮椎体成形术（PVP）和血管内化疗栓塞术（ECE）治疗椎体恶性肿瘤的临床价值。方法采用PVP和（或）ECE治疗椎体恶性肿瘤23例，共50个椎体，其中8例患者共13个椎体单纯行PVP术，15例37个椎体先后行PVP和ECE。结果PVP和ECE技术操作成功率分别为96％和100％，无严重并发症发生。总有效率达91．3％。随访3～10个月，病变椎体未出现新的压缩性骨折。结论PVP和ECE治疗椎体恶性肿瘤的效果理想，可作为椎体恶性肿瘤的首选治疗方法。Objective To evaluate percutaneous vertebroplasty （PVP） combined with endovascular chemotherapy and embolization （ECE） for the treatment of vertebrae malignant tumor. Methods PVP and/or ECE were performed in 23 patiens with 50 vertebral bodies. PVP were performed only in 8 patients of 13 vertebraes. PVP and ECE were performed in 15 patiens of 37 vertebral bodies. Results The successful rate of PVP and ECE were 96% and 100%. No severe complications were observed. The total effective rate was 91.3%. There were not new fracture in the pathological vertebral bodies of 23 cases in followed up period （3--10 months）. Conclusion PVP and ECE are ideal methods for treating vertebral malignant tumors. We think it will be the first way of treatment for the vertebrae malignant tumor.

关 键 词：椎体成形术 栓塞 治疗性 椎体 恶性肿瘤 

分 类 号：R738.1[医药卫生—肿瘤]