椎体成形术治疗症状性椎体血管瘤(附12例结果分析)  

Symptomatic Vertebral Haemangiomas Treated by Vertebroplasty (A Report of 12 Cases)

作　　者：陆军[1] 赵海涛[2] 刘晓莉[1] 石梅[1] 韩良辅[1] 傅莉[1] 王志祥[1] 

机构地区：[1]第四军医大学西京医院放疗科,陕西西安710032 [2]第四军医大学西京医院放射科,陕西西安710032

出　　处：《实用放射学杂志》2003年第12期1114-1116,共3页Journal of Practical Radiology

基　　金：陕西省自然科学研究发展计划资助 (98SM41号 )

摘　　要：目的　探讨经皮穿刺椎体成形术在症状性椎体血管瘤治疗中的作用及意义。方法　有临床症状并经影像学检查及病理证实的椎体血管瘤 12例 ,在CT引导下完成经皮穿刺椎体成形术治疗 ,以视觉模拟评分法评价疗效并随访观察。结果　 11例患者症状明显缓解或消失 ,椎体获得加固 ,1例无变化 ,有效率 91.7%。出现硬膜外静脉栓塞并发症 1例 ,经治疗好转。 1例 5个月后症状复发行外科手术治疗。结论　椎体成形术在治疗症状性椎体血管瘤上简单有效 ,亦可成为其综合治疗方法之一。Objective To study efficacy and significance of percutaneous vertebroplasty under CT guided in treating vertebral heamangioma.Methods 12 cases with vertebral heamangioma accompanied with clinical symptoms comfirmed by imaging and pathology were treated by percutaneous vertebroplasty under CT guided.The therapeutic efficacy was evaluated and followed up.Results The vertebraplasty was successful and the clinical symptom was improved in 12 cases but one.The effective rate was 91.7%.There was epidural vein embolism in one patient.The pain recurrented in one patient five month later and accepted operation.Conclusion Percutaneous vertebraplasty is a effective method in treating symptomatic vertebral heamangioma.

关 键 词：椎体成形术 治疗 症状性 椎体血管瘤 经皮穿刺 

分 类 号：R738.1[医药卫生—肿瘤]