射频消融联合微创椎体成形术治疗脊柱转移瘤  

Application of radiofrequency ablation combined with minimal percutaneous vertebroplasty technique in treatment of metastatic spinal tumors

作　　者：闫峰[1] 杨卫良[1] 徐佳元[1] 陆晓峰[1] 

机构地区：[1]哈尔滨医科大学附属第一医院骨科,哈尔滨150001

出　　处：《中国矫形外科杂志》2012年第1期10-13,共4页Orthopedic Journal of China

摘　　要：[目的]探讨经皮多电极射频消融联合球囊扩张椎体成形术治疗脊柱转移瘤的手术方法及疗效。[方法]对25例患者共62个椎体行经皮多电极射频消融及球囊扩张椎体成形术,主要原发瘤包括肺癌10例,肾癌5例,乳腺癌5例,其他肿瘤5例,全部患者均有腰背痛症状,不伴有脊髓压迫症状。术后平均随访通过VAS评分法比较手术前后症状缓解程度。[结果]全部患者于术后48 h内疼痛明显缓解。1例出现骨水泥外漏,但无临床症状。所有病例获得完整随访,术后平均随访24个月,疼痛较术前明显缓解,均无椎体进一步压缩、腰椎滑脱改变,优良率为96%。[结论]经皮多电极射频消融联合球囊扩张椎体成形术治疗脊柱转移瘤创伤小,明显缓解疼痛,显著提高患者的生存质量。[ Objective] To investigate the efficacy and surgical method of radiofrequency current ablation combined with balloon catheter percutaneous vertebroplasty in treatment of metastatic spinal tumors. [Methods ] Twentyfive patients with 62 centrums were involved in this study. The predominant primary tumors included lung cancer in 10, renal cancer in 5, breast cancer in 5, and others in 5 patients. The most common presenting symptom was back pain in all patients. No one was found withsymptoms of spinal cord compression. The patients were treated with radiofrequency ablation and pereutaneous vertebroplasty and the outcomes were evaluated according to VAS. [Results] One case had bone -cement outleakage but with no clinical symp- tom. After surgical treatment all patients felt lumbodynia relieved at 48 hours. All patients were followedup for an arerage of 24 months, but no one had recurrence of compression fracture and spondylolisthesis. The good - to - excellent results were 96%. [ Conclusion] It suggests thai minimally invasive combined interventional techniques in treatment of metastatic spinal tumors can reduce the surgical trauma, relieve the pain obviously, and improve the quality of life.

关 键 词：射频消融 椎体成形术 脊柱转移瘤 

分 类 号：R738.1[医药卫生—肿瘤]