中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2013年
15期
32-33
,共2页
椎体成形术%脊柱肿瘤%椎体转移瘤
椎體成形術%脊柱腫瘤%椎體轉移瘤
추체성형술%척주종류%추체전이류
Vertebral plasty%Spinal tumor%Spinal metastatic tumor
目的 观察经皮椎体成形术(PVP)治疗脊柱肿瘤、椎体转移瘤的疗效.方法 对29例胸腰椎转移瘤及多发性骨髓瘤患者的86个病椎行PVP术治疗.分别于术后3d及3、6个月采用主诉疼痛分级法(VRS)选行疼痛程度评估.术后6个月采用日常生活自理能力(ADL)量表对患者生活质量进行评估.结果 本研究椎体穿刺均成功.术中发生骨水泥沿椎体静脉丛渗漏2例,术中注射骨水泥时发生血压下降2例,下肢轻度刺激性疼痛1例.术中未出现肺栓塞、肋骨骨折等并发症.术后3d及3、6个月疼痛缓解有效率分别为69％、74％、78％.无原椎体再发塌陷.术后出现神经症状2例.术后6个月ADL评分较术前明显改善(P＜0.01).结论 PVP治疗脊柱肿瘤、榷体转移瘤止痛效果好,是一种切实可行的新技术,值得推广应用.
目的 觀察經皮椎體成形術(PVP)治療脊柱腫瘤、椎體轉移瘤的療效.方法 對29例胸腰椎轉移瘤及多髮性骨髓瘤患者的86箇病椎行PVP術治療.分彆于術後3d及3、6箇月採用主訴疼痛分級法(VRS)選行疼痛程度評估.術後6箇月採用日常生活自理能力(ADL)量錶對患者生活質量進行評估.結果 本研究椎體穿刺均成功.術中髮生骨水泥沿椎體靜脈叢滲漏2例,術中註射骨水泥時髮生血壓下降2例,下肢輕度刺激性疼痛1例.術中未齣現肺栓塞、肋骨骨摺等併髮癥.術後3d及3、6箇月疼痛緩解有效率分彆為69％、74％、78％.無原椎體再髮塌陷.術後齣現神經癥狀2例.術後6箇月ADL評分較術前明顯改善(P＜0.01).結論 PVP治療脊柱腫瘤、榷體轉移瘤止痛效果好,是一種切實可行的新技術,值得推廣應用.
목적 관찰경피추체성형술(PVP)치료척주종류、추체전이류적료효.방법 대29례흉요추전이류급다발성골수류환자적86개병추행PVP술치료.분별우술후3d급3、6개월채용주소동통분급법(VRS)선행동통정도평고.술후6개월채용일상생활자리능력(ADL)량표대환자생활질량진행평고.결과 본연구추체천자균성공.술중발생골수니연추체정맥총삼루2례,술중주사골수니시발생혈압하강2례,하지경도자격성동통1례.술중미출현폐전새、륵골골절등병발증.술후3d급3、6개월동통완해유효솔분별위69％、74％、78％.무원추체재발탑함.술후출현신경증상2례.술후6개월ADL평분교술전명현개선(P＜0.01).결론 PVP치료척주종류、각체전이류지통효과호,시일충절실가행적신기술,치득추엄응용.
Objective To observe the effect of percutaneous vertebral plasty (PVP) on spinal tumor and spinal metastatic tumor.Methods Twenty-nine cases of thoracolumbar metastatic tumor and (or) multiple myeloma,with a total of 86 disease were treated by PVP surgical.The pain degree was estimated by pain classification method (VRS) on the 3th day,3 and 6 months postoperation,and the quality of life was estimated by the self-care ability of daily life (ADL) 6 months postoperation.Results The vertebral puncture were successful.Intraoperative,bone cement along the vertebral venous plexus leakage in 2 cases,injection of bone cement occurs when blood pressure drops in 2 cases,lower limb mild irritation pain in 1 case.There was no intraoperative complications such as pulmonary embolism,fractured ribs during operation.The effective pain relief rate of 3th day and 3,6 months was 69％,74％,78％.No original vertebral body collapsed again.And postoperatively,there was 2 cases of neurologic symptoms.After 6 months,the ADL scores were improved significantly (P ＜ 0.01).Conclusions Percutaneous vertebral plasty in the treatment of spinal tumor and metastatic tumor,has a good pain relieving effect,and it' s a kind of practical new technology,which is worthy of popularization and application.
