中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2013年
52期
8993-8998
,共6页
骨关节植入物%脊柱植入物%脊椎穿刺%血管瘤%脊柱%椎体成形术%骨水泥%椎体稳定性
骨關節植入物%脊柱植入物%脊椎穿刺%血管瘤%脊柱%椎體成形術%骨水泥%椎體穩定性
골관절식입물%척주식입물%척추천자%혈관류%척주%추체성형술%골수니%추체은정성
thoracic vertebrae%hemangioma%vertebroplasty%spinal puncture
背景：自从经皮穿刺注射骨水泥椎体成形技术成功用于脊柱骨折的治疗后，一直在尝试用于椎体血管瘤的治疗。<br> 目的：评价经皮穿刺单纯骨水泥椎体成形治疗症状性椎体血管瘤的安全性和有效性。<br> 方法：9例胸椎症状性椎体血管瘤患者，男2例，女7例，均有背部疼痛等症状，其中2例有神经根刺激症状。采用经皮穿刺单纯骨水泥椎体成形治疗，治疗后进行临床和影像学随访。<br> 结果与结论：操作成功率100%，均未出现肺栓塞、神经损伤等并发症，治疗后影像学检查示均无椎管内或椎间孔渗漏。治疗后24 h症状均有缓解，9例均获得随访，随访时间3-36个月，显示原有症状体征消失或基本消失，血管瘤无复发。结果可见经皮穿刺注射骨水泥椎体成形治疗症状性椎体血管瘤安全有效，它不仅可以缓解症状，还可以增加椎体的稳定性，预防压缩性骨折、防止复发。
揹景：自從經皮穿刺註射骨水泥椎體成形技術成功用于脊柱骨摺的治療後，一直在嘗試用于椎體血管瘤的治療。<br> 目的：評價經皮穿刺單純骨水泥椎體成形治療癥狀性椎體血管瘤的安全性和有效性。<br> 方法：9例胸椎癥狀性椎體血管瘤患者，男2例，女7例，均有揹部疼痛等癥狀，其中2例有神經根刺激癥狀。採用經皮穿刺單純骨水泥椎體成形治療，治療後進行臨床和影像學隨訪。<br> 結果與結論：操作成功率100%，均未齣現肺栓塞、神經損傷等併髮癥，治療後影像學檢查示均無椎管內或椎間孔滲漏。治療後24 h癥狀均有緩解，9例均穫得隨訪，隨訪時間3-36箇月，顯示原有癥狀體徵消失或基本消失，血管瘤無複髮。結果可見經皮穿刺註射骨水泥椎體成形治療癥狀性椎體血管瘤安全有效，它不僅可以緩解癥狀，還可以增加椎體的穩定性，預防壓縮性骨摺、防止複髮。
배경：자종경피천자주사골수니추체성형기술성공용우척주골절적치료후，일직재상시용우추체혈관류적치료。<br> 목적：평개경피천자단순골수니추체성형치료증상성추체혈관류적안전성화유효성。<br> 방법：9례흉추증상성추체혈관류환자，남2례，녀7례，균유배부동통등증상，기중2례유신경근자격증상。채용경피천자단순골수니추체성형치료，치료후진행림상화영상학수방。<br> 결과여결론：조작성공솔100%，균미출현폐전새、신경손상등병발증，치료후영상학검사시균무추관내혹추간공삼루。치료후24 h증상균유완해，9례균획득수방，수방시간3-36개월，현시원유증상체정소실혹기본소실，혈관류무복발。결과가견경피천자주사골수니추체성형치료증상성추체혈관류안전유효，타불부가이완해증상，환가이증가추체적은정성，예방압축성골절、방지복발。
BACKGROUND:Since percutaneous injection of bone cement vertebroplasty has been successful y used in treatment of spine fracture, percutaneous vertebroplasty is trying to be utilized in the treatment of vertebral hemangiomas. <br> OBJECTIVE:To evaluate the safety and effectiveness of percutaneous injection of bone cement vertebroplasty in the treatment of symptomatic vertebral hemangiomas. <br> METHODS:Total y nine patients with symptomatic thoracic vertebral hemangioma patients, including two males and seven females, had back pain. Of them, two cases suffered from nerve root irritation. Percutaneous vertebroplasty with bone cement was used alone. Postoperative clinical and radiographic fol ow-up was conducted. <br> RESULTS AND CONCLUSION:The success rate was 100%, and no pulmonary embolism or nerve injury appeared. Postoperative imaging showed no leakage of spinal canal or foramen. At 24 hours after treatment, the symptoms had eased;nine cases were fol owed up for 3 to 36 months, showing that the original symptoms and signs disappeared or almost disappeared, no recurrence of vascular tumors. Results indicated that the percutaneous injection of bone cement vertebroplasty for the treatment of symptomatic vertebral hemangiomas is a safe and effective treatment;it can not only relieve symptoms, but also can increase the stability of the vertebral body, and prevent compression fracture and recurrence.
