经皮中央纵向穿刺技术在治疗6例骶骨转移性肿瘤中的应用  

Application of percutaneous central longitudinal puncture technique for treating sacral metastatic tumor in 6 cases

作　　者：晏铮剑[1] 邓忠良[1] 柯珍勇[1] 陈富[1] 陈亮[1] 

机构地区：[1]重庆医科大学附属第二医院骨科,400010

出　　处：《重庆医学》2012年第15期1482-1483,共2页Chongqing medicine

摘　　要：目的探讨经皮中央纵向穿刺技术在治疗骶骨转移性肿瘤中应用的疗效。方法回顾性分析2009年9月至2011年10月,在C型臂X线引导下应用经皮中央纵向穿刺技术治疗骶骨转移性肿瘤6例的临床资料。结果 6例11个椎体均顺利完成,每椎平均手术时间21.3min。S1、S2、S3椎体平均注入骨水泥分别为4.2、2.8、2.0mL,骨水泥外漏1椎(S3),无神经损害并发症发生。术后3dVAS评分[(3.25±0.90)分]较术前[(6.25±1.09)分]明显下降(P<0.05)。结论通过中央纵向穿刺途径行经皮骶椎成形术具有安全有效、操作简单等特点。适于对骶骨转移性肿瘤的穿刺活检及强化治疗。Objective To investigate the curative effect of percutaneous central longitudinal puncture technique in treating sacral metastatic tumor. Methods The clinical data in 6 cases of sacral metastatic tumor treated by percutaneous central longitudinal puncture technique under C-arm guidance in our hospital from September 2009 to October 2011 were retrospectively analyzed. Resuits 11 vertebral bodies in 6 cases were smoothly performed the procedure. 21.3 rain was spent per vertebral body. The average cement deposition was 4.2 mL for S1,2.8 mL for S2 and 2.0 mL for S3 respectively. Only one vertebra happened cement leakage. None neurological deficit and other complications occurred. The VAS scores were significantly reduced from 6.25 ± 1.09 before operation to 3.25±0.90 on postoperative 3 d（P〈0. 05）. Conclusion Central longitudinal puncture for performing percutaneous vertebroplasty is safe,effective and easy to operate,which is suitable to puncture biopsy and intensive treatment.

关 键 词：椎体成形术 脊椎穿刺 聚甲基异丁烯酸 中央纵向穿刺 

分 类 号：R738[医药卫生—肿瘤]