经皮穿刺椎体成型术治疗椎体良、恶性肿瘤的临床观察  

The clinical application of percutaneous vertebroplasty for spinal benign and malignant tumors

作　　者：姚炳乾[1] 陈爱国[2] 周祝谦[1] 毕泗长[1] 

机构地区：[1]山东省千佛山医院影像科,山东济南250014 [2]山东师范大学校医院内科,山东济南250014

出　　处：《医学影像学杂志》2009年第11期1457-1459,共3页Journal of Medical Imaging

摘　　要：目的:探讨经皮穿刺椎体成型术治疗椎体良、恶性肿瘤的临床应用价值。方法:对37例共59个椎体行经皮穿刺椎体成型术,其中血管瘤2例2个椎体、椎体恶性肿瘤35例57个椎体。采用单侧或双侧椎弓根入路,在X线定位下,将不透X线骨水泥(在骨水泥甲基丙烯酸树脂多聚体PMMA粉剂中加入2ml对比剂以透视显影)按粉剂与液体为3:2比例混合调制成糊状,用1ml注射器匀速缓慢注入病变椎体。结果:经皮穿刺椎体成型术后。27例患者术后疼痛完全缓解,6例明显缓解;2例有所缓解;随访12个月,无复发迹象。本组没有发生并发症。结论:经皮穿刺椎体成型术治疗椎体良、恶性肿瘤是一种创伤小、安全、有效的治疗手段。Objective：To evaluate the clinical application value of percutaneous vertebroplasty for the treatment of spinal benign and malignant tumors. Methods：37 cases with 59 centrums were treated by pemutaneous vertebroplasty, in which 2 cases had hemanglomas with 2 eentrums, 35 eases suffered from malignant tumors with 57 eentrmns. The X-ray opaque bone cement, which was mixed by powder and liquid with the ratio of 3 ： 2, was injected into the morbid ccntnans slowly with a syringe of 1 ml. This process was positioned by X- ray. Results： After the treatment of percutaneous vertebroplasty, the symptom of pain was relieved completely in 27 cases, apparently in 6 eases , and slightly in 2 eases. All of the cases were follow-up for 12 months, and no complications occurred. Condusion：Percutaneous vertebroplasty for spinal benign and malignant tumors is a minor wounded, safe and effective treatment method.

关 键 词：椎体成型术 椎体血管瘤 椎体恶性肿瘤 

分 类 号：R815[医药卫生—放射医学] R739.92[医药卫生—临床医学]