经皮椎体成形术治疗对83例胸腰椎体转移瘤的疗效分析  

Analaysis of therapeutic effect percutaneous vertebroplasty treatment for 83 cases of metastatic tumor of the thoracolumbar vertebral bodies

作　　者：江仁兵[1] 徐万龙[1] 锡林宝勒日 白靖平[1] 

机构地区：[1]新疆医科大学附属肿瘤医院骨与软组织肿瘤科,乌鲁木齐830011

出　　处：《重庆医学》2010年第23期3231-3232,3235,共3页Chongqing medicine

基　　金：新疆维吾尔自治区科技攻关(含重大专项)和重点项目(200833116)

摘　　要：目的研究X线透视机引导下经皮椎体成形术(PVP)对胸、腰椎椎体转移瘤进行治疗的临床效果。方法在X线透视机引导下,对83例胸、腰椎椎体转移瘤患者的111个椎体实施PVP,对比观察实施PVP前、后患者生活质量、骨痛评分、脊柱稳定性的改变以及不良反应。结果 PVP治疗前、后生活质量(t=1.65,P<0.05)及骨痛评分(P<0.05,t=6.33)差异均有统计学意义,所有患者疼痛有不同程度缓解,生活质量有所提高,PVP治疗后脊柱稳定。术后9例14个椎体发生骨水泥渗漏,但都未引起临床症状,无骨水泥毒性反应、肺栓塞、感染和神经损伤等并发症发生。结论 PVP是一种治疗胸、腰椎椎体转移瘤较为有效的方法 。Objective To study the curative effect of treating thoracic and lumbar metastatic vertebral body tumor with percutaneous vertebroplasty（PVP）guided by fluoroscopy.Methods 111 vertebras in 83 cases with thoracic and lumbar metastatic vertebral body tumor were treated with PVP guided by fluoroscopy.The life quality,therapeutic response,stabilization of the vertebral column and toxic effect were compared between the groups of pre-treated and post-treated of PVP.Results The group of pre-treated and post-treated showed significant changes in life quality（t=1.65,P〈0.05）and the score of the pain of the bone（t=6.33,P〈0.05）.The stabilization of the vertebral column is stabile.Meanwhile,after the PVP,bone cement leakage happened in 14 vertebras of 9 cases and no other complications such as pulmonary embolism,infection occurred.Conclusion PVP guided by fluoroscopy is an excellent therapeutic method for patients with thoracic and lumbar metastatic vertebral body tumors.

关 键 词：经皮穿刺椎体成形术 椎体转移瘤 疗效 

分 类 号：R738[医药卫生—肿瘤]