射频消融术联合经皮椎体成形术治疗脊柱转移性肿瘤  

Radiofrequency Ablation Combined with Percutaneous Vertebroplasty for the Treatment Of Spinal Metastatic Tumors

作　　者：栗战营[1] 刘白鹭[2] 朱雁兵[1] 赵焕燕[1] 刘宝军[1] 崔永鹏[1] LI Zhan-ying;LIU Bai-lu;ZHU Yan-bin;ZHAO Huan-yan;LIU Bao-jun;CUI Yong-peng(Department of Neurosurgery,Kailuan General Hospital,Tangshan City,Tangshan,Hebei 063000;Department of Rheumatology and Immunology,Kailu General Hospital,Tangshan City,Tangshan,Hebei 063000)

机构地区：[1]唐山市开滦总医院神经外科,河北唐山063000 [2]唐山市开滦总医院风湿免疫科,河北唐山063000

出　　处：《智慧健康》2018年第33期124-125,共2页Smart Healthcare

摘　　要：目的探究射频消融术联合经皮椎体成形术治疗脊柱转移性肿瘤的临床效果。方法选取我院2017年3月至2017年12月收治的53例脊柱转移性肿瘤患者进行射频消融术联合经皮椎体成形术治疗,回顾性分析所有患者的临床资料,对比患者骨水泥外渗情况、术前术后VAS评分、术前术后KPS评分及术后6个月复发情况。结果患者的骨水泥外渗率及复发率均较低,且术后6个月的VAS评分及KPS评分情况均优于术前,有统计学意义(P<0.05)。结论采用射频消融术联合经皮椎体成形术治疗脊柱转移性肿瘤具有明显的临床效果,有助于降低患者骨水泥外渗率及复发率,并改善患者的疼痛程度和功能状态。Objective To investigate the clinical effects of radiofrequency ablation combined with percutaneous vertebroplasty for the treatment of spinal metastatic tumors. Methods A total of 53 patients with spinal metastatic tumors from March 2017 to December 2017 were treated with radiofrequency ablation combined with percutaneous vertebroplasty. The clinical data of all patients were retrospectively analyzed. The patients were compared with the extravasation of the cement, the VAS score before and after surgery, the KPS score before and after surgery, and the recurrence at 6 months after surgery. Results The cement extravasation rate and recurrence rate were lower, and the VAS score and KPS score at 6 months after operation were better than those before operation(P<0.05). Conclusion Radiofrequency ablation combined with percutaneous vertebroplasty for the treatment of spinal metastases has obvious clinical effects, which can help reduce the rate of bone cement extravasation and recurrence, and improve the pain and functional status of patients.

关 键 词：射频消融术 经皮椎体成形术 脊柱转移性肿瘤 

分 类 号：R738.1[医药卫生—肿瘤]