18G穿刺针行经皮椎体成形术治疗颈椎恶性重度压缩骨折  

Percutaneous vertebroplasty performed with an 18 G needle for the treatment of severe compression fracture of cervical vertebral body due to malignancy

作　　者：陈珑[1,2] 倪才方[2] 王振堂[3] 刘一之[2] 金泳海[2] 朱晓黎[2] 邹建伟[2] 肖湘生[1] 

机构地区：[1]第二军医大学长征医院放射科,上海200003 [2]苏州大学附属第一医院介入科 [3]第二军医大学长海医院放射科

出　　处：《介入放射学杂志》2010年第7期547-549,共3页Journal of Interventional Radiology

摘　　要：目的研究利用18G血管穿刺针行经皮椎体成形术治疗颈椎恶性重度压缩骨折的可行性及疗效。方法 2006-2010年对10例颈椎恶性转移性病变所致的重度椎体压缩骨折(共12个椎体)行经皮椎体成形术。其中C4、C5椎体各3个,C6椎体4个,C7椎体2个。在DSA机透视引导下将18G穿刺针经皮穿刺进入靶椎体,后注入聚甲基丙烯酸甲酯骨水泥,术后随访1个月。结果术中穿刺和骨水泥注射技术成功率100%。每个椎体的骨水泥平均注射量为2.2ml(1.5～3.2ml),所有患者的疼痛都得到了明显缓解。除4个椎体发生无症状的骨水泥渗漏外,无一例发生严重并发症。结论利用18G血管穿刺针行经皮椎体成形术是治疗颈椎恶性重度压缩骨折安全、有效的治疗方法 。Objective To investigate the clinical feasibility and efficacy of percutaneous vertebroplasty performed with an 18G needle for the treatment of severe compression fracture of cervical vertebral body due to malignancy.Methods During the period of 2006-2010 percutaneous vertebroplasty was performed in 10 patients with severe compression fracture of cervical vertebral body due to metastatic lesions.A total of 12 diseased vertebral bodies were detected,which distributed in the C4（n = 3）,C5（n = 3）,C6（n = 4） and C7（n = 2） vertebral bodies.Under DSA guidance an 18G needle was punctured into the target vertebral body and then polymethylmethacrylate bone cement was injected in.A follow-up lasting for one month was conducted.Results The technical success of both needle puncturing and bone cement injection was achieved in all patients.The mean amount of bone cement injected in each diseased vertebra was 2.2 ml（1.5-3.2）ml.Marked pain relief was quickly obtained in al1 10 patients.No major complications occurred in this series,except for asymptomatic bone cement leaking around vertebra which appeared in 4 vertebral bodies.Conclusion Percutaneous vertebroplasty,which is performed with an 18G needle,is a safe and effective technique for the treatment of severe compression fracture of cervical vertebral body due to malignancy.

关 键 词：18G穿刺针 颈椎 脊柱转移瘤 椎体成形术 

分 类 号：R687.3[医药卫生—骨科学]