经皮穿刺椎弓根椎体成形术治疗胸腰椎椎体转移肿瘤的临床疗效

Comparison of the Clinical Efficacy of Percutaneous Vertebroplasty Pedicle Way and Traditional Conservative Method on the Treatment of Thoracic Vertebral Metastases

目的:进一步探讨经皮穿刺椎弓根途径椎体成形术与传统保守治疗方法的临床比较差异,从而为临床相关实践提供借鉴和参考依据。方法:2014年12月至2015年5月医院临床收治的胸腰椎椎体转移肿瘤患者共计88例,根据治疗方法分成研究组(经皮穿刺椎弓根途径椎体成形术组)和对照组(传统保守治疗方法组),每组患者44例。观察和比较两组患者实施不同治疗后的临床满意度。结果:研究组患者手术1d、1个月、3个月、6个月和1年后的临床满意度均显著的高于对照组,且组间比较差异均有统计学意义(P<0.05)。结论:经皮穿刺椎弓根途径椎体成形术治疗胸腰椎椎体转移肿瘤的临床综合效果显著,与传统保守治疗方法相比较可有效改善和提高患者的生活质量。

Objective： To further explore the clinical differences of percutaneous vertebroplasty pedicle method and traditional conservative method on the treatment of thoracic vertebral metastases, so as to provide references for clinical related practice. Methods：88 cases with thoracolumbar vertebral metastasis cancer patients admitted to the hospital from December 2012 to May 2013 were chosen.According to the different treatment methods, the patients were divided into the study group those who were treated with percutaneous pedicle pathway vertebroplasty and the control group those who were treated with traditional conservative method, with 44 patients in each group. Then the clinical satisfaction levels of the two groups after treatment were observed and compared. Results： The clinical satisfaction levels of the study group after surgery for one day, one month, three months, six months and one year were significantly higher than those of the control group, and the differences were statistically significant（P〈0.05）. Conclusions： In the practice of the treatment process for the thoracic and lumbar vertebral metastasis, the clinical comprehensive effect of percutaneous pedicle vertebroplasty has shown that it can effectively improve the treatment and improve patient quality of life compared with the traditional conservatism. It is the ideal way for the clinical treatment of thoracolumbar spinal metastatic tumors.