期刊文献+

经皮椎体成形术治疗椎体肿瘤的临床研究 被引量:1

Treatment of vertebral tumors by percutaneous vertebroplasty
下载PDF
导出
摘要 目的评估经皮椎体成形术治疗椎体肿瘤的有效性及安全性。方法2005年4月~2007年3月,使用经皮椎体成形术治疗椎体肿瘤患者20例,分别于术前、术后1周及术后1年使用VAS及SF-36评分系统对患者的疼痛程度及生活质量进行评估。统计学分析方法采用Oneway ANOVA(P<0.05)。结果20例手术均成功完成,6例术后片可见椎旁静脉骨水泥栓塞,1例可见肺部少量骨水泥栓塞,但均无明显相关症状。术后1周及术后1年的VAS及SF-36评分较术前评分明显改善,统计学上有显著性差异(P<0.001);术后1年评分较术后1周评分统计学上无显著性差异(P>0.495)。结论经皮椎体成形术可有效缓解患者疼痛,改善患者生活质量。骨水泥渗漏常见,但有临床症状者极少。 Objective To evaluate the efficacy and safely of treatment of vertebral tumors by PVP.Methods The study group included 20 patients with vertebral tumors who underwent PVP.The complications were investingaled,and VAS and SF-36 scoring system were used to evaluate the efficacy.Results All procedures were completed successfully, and there were 5 cement embolus and 1 pulmonary embolism,without evidence of clinical symptoms.Comparison of preoperative and postoperative VAS and SF-36 were signilicanfly showed improved significance(P<0.05).Conclusion PVP can markedly improves pain and life quality in patients with vertebral tumors.
出处 《中国骨与关节外科》 2008年第Z1期280-284,共5页 Chinese Journal of Bone and Joint Surgery
关键词 椎体成形术 椎体肿瘤 骨水泥 vertebroplasty vertebral tumor bone cement
  • 相关文献

参考文献12

  • 1王宇,邑晓东,吴志峰,李淳德,卢海霖,施学东,王冰,朱天岳.eFilm影像工作站辅助PVP及PKP术前计划及术中定位的临床应用[J].中国脊柱脊髓杂志,2008,18(6):425-428. 被引量:6
  • 2王正明,张根福,鲍丰,吴汝平,丁必成,赖震.经皮椎体成形术治疗胸腰椎椎体转移癌的疗效观察[J].中国脊柱脊髓杂志,2007,17(11):846-848. 被引量:25
  • 3Chow E,Holden L,Cortet B,et al.Successful salvage using percutaneous vertebroplasty in cancer patients with painful spinal metastases or osteoporotic compression fractures. Radiotherapy and Oncology . 2004
  • 4Galibert P,Deramond H,Rosat P,et al.Preliminary note on the treatment of vertebral angioma by percutaneous acrylic vertebroplasty. Neurochirurgie . 1987
  • 5Kaemmerlen P,Thiesse P,Bouvard H,et al.Percutaneous vertebroplasty in the treatment of metastases: technic and results. Journal de Radiologie . 1989
  • 6Cotten A,Dewatre F,Cortet B,et al.Percutaneous vertebroplasty for osteolytic metastases and myeloma: effects of the percentage of lesion filling and the leakage of methyl methacrylate at clinical follow-up. Radiology . 1996
  • 7Nussbaum DA,Gillound P,Murphy K.A review of complications associated with vertebroplasty and kyphoplasty as reported to the Food and Drug Administration Medical Device related web site. Journal of Vascular Surgery . 2004
  • 8De Negri P,Tirri T,Patermoster G,et al.Treatment of painful osteoporotic or traumatic vertebral compression fractures by percutaneous vertebral augmentation procedures:a nonrandomized comparison between verte-broplasty and kyphoplasty. Clinical Journal of Pain . 2007
  • 9Hentschel SJ,,Burton AW,Fourney DR,et al.Percutaneous vertebroplasty and kyphoplasty performed at a cancer center:refutingproposedcontraindications. JNeurosurgSpine . 2005
  • 10Burton,A.W.,Reddy,S.K.,Shah,H.N.Percutaneous vertebroplasty—a technique to treat refractory spinal pain in the setting of advanced metastatic cancer: a case series. Journal of Pain and Symptom Management . 2005

二级参考文献15

  • 1朱建民.恶性肿瘤骨转移机制探讨[J].癌症,1990,9(1):63-64. 被引量:8
  • 2许国华,叶晓健,袁文,肖建如,田纪伟,陈德玉,倪斌,贾连顺,李家顺.椎体成形术对胸腰椎椎体转移癌疼痛的治疗[J].中国脊柱脊髓杂志,2006,16(7):508-511. 被引量:9
  • 3Burton AW,Reddy SK,Shah HN,et al.Percutaneous vertebroplasty:a technique to treat refractory spinal pain in the setting of advanced metastatic cancer:a case series[J].J Pain Symptom Manage,2005,30(1):87-95.
  • 4Stewart AL.The Medical Outcomes Study Approach[M].Durham,N C:Duke U niversity Press,1992.176-185.
  • 5Jacofsky DJ,Papagelopoulos PJ,Sim FH.Advances and challenges in the surgical treatment of metastaststic bone disease[J].Clin Orthop Relat Res,2003,415(1):14-18.
  • 6Galibert P,Deramond H,Rosat P,et al.Preliminary note on the treatment of vertebral angioma by percutaneous acrylic vertebroplasty[J].Neurochirurgie,1987,33 (1):166-168.
  • 7Kaemmerlen P,Thiesse P,Bouvard H,et al.Percutaneous vertebroplasty in the treatment of metastases technic and results[J].J Radiol,1989,70(4):557-562.
  • 8Deramond H,Depriester C,Galibert P,et al.Percutaneous vertebroplasty with polymethylmethacrylate:technique,indications and results[J].Radilol Clin North Am,1998,36(4):533-546.
  • 9Brown DB,Gilula LA,Sehgal M,et al.Treatment of chronic symptomatic vertebral compression fracture with percutaneous vertebroplasty[J].Am J Roentgenol,2004,182(2):319-322.
  • 10Cotton A,Dewatre F,Cortet B,et al.Percutaneous vertebroplasty for osteolytic metastases and myeloma:effects of the percentage of lesion filling and the leakage of methyl methacrylate at clinical follow-up[J].Radiology,1996,200(2):525-530.

共引文献29

同被引文献9

  • 1王正明,张根福,鲍丰,吴汝平,丁必成,赖震.经皮椎体成形术治疗胸腰椎椎体转移癌的疗效观察[J].中国脊柱脊髓杂志,2007,17(11):846-848. 被引量:25
  • 2Ji Zhang,Chun-gen Wu.Percutaneous sacroplasty for sacral metastatic tumors under fluoroscopic guidance only[J].Korean J Radiol,2008,9:572-576.
  • 3Young-Kwon Ko,Yoon-Hee Kim.Percutaneous vertebroplasty for painful spinal metastasis:a good optiom for better quality of life[J].Korean J Anesthesiol,2013,64 (3):201-203.
  • 4Galibert P,Deramond H,Rosat P,et al.Preliminary note on the treatment of vertebral angioma by percutaneous acrylic vertebroplasty[J].Neurochirurgie,1987,33 (2):166-168.
  • 5Anselmetti GC,Corrao G,Monica PD,et al.Pain relief following percutaneous vertebroplasty:results of a series of 283 consecutive patients treated in a single institution[J].Cardiovasc Intervent Radiol,2007,30 (3):441-447.
  • 6Shimony JS,Gilula LA,Zeller AJ,et al.Percutaneous vertebroplasty for malignant compression fractures with epidural involvement[J].Radiology,2004,232 (3):846-853.
  • 7M Farrokhi,H Nouraei,A Kiani.The efficacy of percutaneous vertebroplasty in pain relief in patients with pathological vertebral fractures due to metastatic spinal tumors[J].Red Crescent Med J,2012,14(9):523-530.
  • 8Jakobs TF,Trumm C,Reiser M,et al.Percutaneous vertebroplasty in tumoral osteolysis[J].Eur Radiol,2007,17 (8):2166-2175.
  • 9魏新建,纪向辉,李磊本,曹飞,张福华.四步法经皮椎体成形术治疗胸腰椎椎体肿瘤[J].临床军医杂志,2012,40(2):456-457. 被引量:3

引证文献1

二级引证文献8

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部