椎体血管瘤的CT导引治疗

The Vertebral Hemangioma Treated by Surgical Interventional

目的:探讨椎体血管瘤的CT导引治疗效果。方法:10例患者,12个椎体(胸椎4个,腰椎8个)CT导引下行侧椎弓根穿刺。穿刺针到位后,先造影了解椎旁静脉丛位置、引流静脉以及针尖是否位于粗大血管内,后注射骨水泥至椎体填充满意。结果:穿刺技术操作全部成功,椎体填充达1/2椎体以上或病灶大部填充。临床症状:疼痛完全缓解7例,明显缓解3例。无严重并发症发生。结论:CT引导下外科介入治疗不仅可以解除或缓解椎体血管瘤引起的剧痛,增加椎体稳定性;而且避免因椎体开窗术造成创伤的缺点。

Objective To explore sugical interventional to treat vertebral hemangioma.Methods 10 roots of vertebral arch were punctured with CT giodamcein 10 patients with 12 vertebras(4 thoracic vertebras and 8 lumbar vertebras),vertebral graph was done in every case in order to inject aerylic cement to a satisfactory degree.Results The operations were successful in every case.Acrylic cement was filled over half vertebra or more over half tumor.Clinical symptoms were completely relieved in 7 and partial relieved in 5 patient,No severe complications were observed.Conclusion sugical interventional can relief or decrease the huge pain in vertebral hemangioma and increase the vertebral stabilization.