经皮穿刺椎体成型术治疗椎体良、恶性肿瘤的临床观察

The clinical application of percutaneous vertebroplasty for spinal benign and malignant tumors

目的:探讨经皮穿刺椎体成型术治疗椎体良、恶性肿瘤的临床应用价值。方法:对37例共59个椎体行经皮穿刺椎体成型术,其中血管瘤2例2个椎体、椎体恶性肿瘤35例57个椎体。采用单侧或双侧椎弓根入路,在X线定位下,将不透X线骨水泥(在骨水泥甲基丙烯酸树脂多聚体PMMA粉剂中加入2ml对比剂以透视显影)按粉剂与液体为3:2比例混合调制成糊状,用1ml注射器匀速缓慢注入病变椎体。结果:经皮穿刺椎体成型术后。27例患者术后疼痛完全缓解,6例明显缓解;2例有所缓解;随访12个月,无复发迹象。本组没有发生并发症。结论:经皮穿刺椎体成型术治疗椎体良、恶性肿瘤是一种创伤小、安全、有效的治疗手段。

Objective：To evaluate the clinical application value of percutaneous vertebroplasty for the treatment of spinal benign and malignant tumors. Methods：37 cases with 59 centrums were treated by pemutaneous vertebroplasty, in which 2 cases had hemanglomas with 2 eentrums, 35 eases suffered from malignant tumors with 57 eentrmns. The X-ray opaque bone cement, which was mixed by powder and liquid with the ratio of 3 ： 2, was injected into the morbid ccntnans slowly with a syringe of 1 ml. This process was positioned by X- ray. Results： After the treatment of percutaneous vertebroplasty, the symptom of pain was relieved completely in 27 cases, apparently in 6 eases , and slightly in 2 eases. All of the cases were follow-up for 12 months, and no complications occurred. Condusion：Percutaneous vertebroplasty for spinal benign and malignant tumors is a minor wounded, safe and effective treatment method.