PKP或PVP治疗椎体转移肿瘤的临床疗效分析  

Clinical efficacy analysis of PKP/PVP in treatment of vertebral metastases

作　　者：叶学年 朱文雄[1] 江铭[1] 梁皓华[1] 苏艳飞[1] 郭建恩[1] 

机构地区：[1]东莞市人民医院骨科,广东523126

出　　处：《齐齐哈尔医学院学报》2016年第10期1276-1278,共3页Journal of Qiqihar Medical University

基　　金：广东省东莞市科技计划医疗卫生类科研一般项目(201210515001107)

摘　　要：目的研究PKP或PVP术式在椎体转移肿瘤中的临床治疗效果。方法在我院收治的椎体转移肿瘤患者中选出90例作为本次研究的对象,其中69例患者行PVP术式,21例患者行PKP术式,观察治疗效果。结果所有患者术后3 d的VAS评分明显低于术前,且术后3个月ADL评分高于术前,P〈0.05;PKP术式组术后1个月的椎体前缘高度、中间高度、后缘高度均高于术前,P〈0.05;PVP组的这三项指标术前与术后1个月对比差异不明显,P〉0.05;在生存情况上,Tomita评分5~7分组患者优于8~10分组患者,P〈0.05。结论 PVP或PKP术式在椎体转移肿瘤的治疗中效果显著。临床上应根据患者的具体情况合理使用手术方法。Objective To study the clinical effect of PKP or PVP in the treatment of vertebral metastasis. Methods 90 cases selected as the object of this study in patients with vertebral metastases in our hospital,69 patients underwent surgical PVP and 21 patients underwent PKP surgical,and the effect of treatment was observed. Results 3d VAS score significantly lower than the preoperative and postoperative ADL scores higher than the preoperative and postoperative 3 months, P 0. 05; PKP holds the operation group of postoperative 1 month fanterior flange height,middle height,trailing edge height were higher than that of preoperative,P 0. 05; PVP set the three indicators of preoperative and postoperative 1 month no obvious difference,P 0. 05; In survival,Tomita score of 5 ~ 7 group was better than 8 ~ 10 group,P 0. 05.Conclusions PVP or PKP is effective in the treatment of vertebral metastasis tumor. We should reasonably use the operation method according to the specific condition of the patient.

关 键 词：PVP 椎体转移肿瘤 Tomita评分 ADL VAS 

分 类 号：R45[医药卫生—治疗学]