经皮椎体成形术治疗胸腰椎椎体转移癌的疗效观察

Treatment of vertebral metastatic tumors by percutaneous vertebroplasty

目的:观察经皮椎体成形术治疗胸腰椎椎体转移癌的效果。方法:对25例胸腰椎椎体转移癌患者的37个椎体在C型臂X线透视下经皮椎体穿刺并注入骨水泥成形,术后按疼痛缓解程度6级评定法及简明健康状况调查表(SF-36)对治疗后患者生活质量进行评估。结果:所有患者术后均未发生感染、脊髓压迫和肺栓塞等并发症。24例患者术后2～72h内疼痛得到不同程度缓解,1例多发脊柱严重破坏者术后疼痛无缓解,术后1周疼痛缓解优良率为72.0%。术后随访3～27个月,平均7个月,根据SF-36评分,患者总体生活质量评分由术前的平均232分提高到末次随访时的平均349分。结论:经皮椎体成形术治疗胸腰椎椎体转移癌安全可行,具有良好的止痛效果,能够有效改善患者的生活质量。

Objective：To study the results of percutaneous vertebroplasty （PVP） in treating vertebral body metastatic tumors.Method ：37 vertebral bodies of 25 patients with metastatic tumor underwent percutaneous injection of VERTEROPLASTICTM cement under X-ray guidance,the patients were examined after surgery to ascertain the alleviation of the pain and evaluate the patient＇s life quality.Result：None of 25 patients had infection,spinal compression or lung embolism.24 patients＇ pain was alleviated to some extent in 2-72 hours after anesthetic disappear,but one patient＇s pain had no any changed.The time of follow-up was 3 to 27 months,the mean follow-up was 7 months.According to the score of alleviation of the pain,the fineness rate of operation after one week was 72.0%.According to SF-36,the patient＇s life quality scores had improved from average 232 to 349 before and after operation.Conclusion：The percutaneous vertebroplasty （PVP） provides satisfactory results to vertebral body metastatic tumors and has efficiency to improve patient＇s life quality.