CAJ | 학술논문

目的：探讨椎体后凸成形术治疗 Tomita 分值高的脊柱转移瘤的临床效果。方法回顾2010年12月~2014年10月应用椎体后凸成形术治疗的脊柱转移瘤患者21例50个椎体,所有患者 Tomita 评分均在7分以上,均为多节段脊柱转移瘤,以 VAS 评分及美国东部肿瘤协作组(ECOG)评估活动能力作为手术治疗效果的评价指标。结果21例患者共50个病椎均穿刺成功,术程顺利,VAS 评分术前及术后分别为(8.53±0.72)分和(1.80±0.66)分(P <0.05)；ECOG 分级4级者1例,改善为3级,3级者1 1例中10例改善为2级,2级9例中3例改善为1级；无围手术期死亡。结论经皮椎体后凸成形术治疗高 Tomita 评分脊柱转移瘤可快速缓解脊柱病灶疼痛,改善活动功能,提高生活质量,且手术安全可靠。
목적：탐토추체후철성형술치료 Tomita 분치고적척주전이류적림상효과。방법회고2010년12월~2014년10월응용추체후철성형술치료적척주전이류환자21례50개추체,소유환자 Tomita 평분균재7분이상,균위다절단척주전이류,이 VAS 평분급미국동부종류협작조(ECOG)평고활동능력작위수술치료효과적평개지표。결과21례환자공50개병추균천자성공,술정순리,VAS 평분술전급술후분별위(8.53±0.72)분화(1.80±0.66)분(P <0.05)；ECOG 분급4급자1례,개선위3급,3급자1 1례중10례개선위2급,2급9례중3례개선위1급；무위수술기사망。결론경피추체후철성형술치료고 Tomita 평분척주전이류가쾌속완해척주병조동통,개선활동공능,제고생활질량,차수술안전가고。
Objective To discuss clinical efficacy of percutaneous kyphoplasty in treatment of high Tomita score spinal metastases. Methods From Dec.2010 to Oct.2014,21 patients of spinal metastatic tumor (in-cluding 50 vertebral bodies)with high Tomita score (>7)were treated with percutaneous kyphoplasty,all the tumors were multi- segment spinal metastatic tumors.Clinical efficacy was evaluated by using Visual Ana-logue Score (VAS)and Eastern Cooperative Oncology Group (ECOG)performance status. Results Trans-pedicular approach and percutaneous kyphoplasty succeeded for all 21 patients,50 ill vertebral bodies.Com-pared pre-operative VAS of (8.53±0.72)to post-operative VAS of (1.80±0.66)showed statistical differ-ence (P <0.05).One case had grade IV ECOG scale and was improved to grade III,10 of 1 1 cases had grade III ECOG scale which were improved to grade II,3 of 9 cases had grade II ECOG scale,which were improved to grade I.And no perioperative death. Conclusion Percutaneous kyphoplasty is safe and effective for high To-mita score spinal metastatic tumor in rapidly easing spinal lesion pain,improving activity function and impro-ving patients'quality of life.