椎体动脉栓塞治疗椎体血管瘤的临床应用与研究(附5例报告)

Clinical Application and Research of Vertebral Artery Embolization in Therapy of Vertebral - Body Hemangioma: Report of 5 cases

目的:探讨椎体动脉栓塞法治疗椎体血管瘤的优越性及其临床应用价值。材料与方法:使用两种栓塞材料——真丝线段0.5cm长的1号医用缝合丝线,可吸收明胶海棉块1mm^3,对5例椎体血管瘤患者进行了栓塞治疗,5例均为女性,年龄29～62岁,其中胸,_(12)2例,胸_(10)腰_3及胸_8人工椎体置换术后复发各1例,5例患者均有不同程度的脊髓、神经根压迫症状,2例出现痉挛性截瘫。结果:5例患者经栓塞治疗后,除1例于1年后死于肝癌,但其症状有明显改善;4例均在一段时间后,临床症状和体征基本消失或完全恢复正常,生活完全自理,随访6～10年无复发,取得显著疗效。结论:椎体动脉栓塞治疗椎体血管瘤是一种安全、有效的治疗方法,与手术及放射疗法比较有明显的优越性。

Purpose: To explore the advantages and usefulness of vertebral artery embolization in therapy of vertebral - body hemangioma. Materials and Methods: Two kinds of embolic materials, i. e. true silk segment with length of 0. 5 cm that is called number 1 medical stitching and absorbable gelatin spongy mass were used for this study. Five patients with vertebral - body hemangioma, which were women aged 26 - 62 years, in whom there were hemangioma of T12 2 cases, T10, L5 and T8 what was reoccurred after operation of artificial vertebral replacement, each 1 case, underwent the vertebral artery embolization. Before therapy, more or less pressuring symptoms of spinal cord and nerve root were found in all five patients but spasmodic paraplegia were found only in two patients. Following therapy of vertebral artery embolization, clinical symptoms and signs in all patients except one case which although dead from hepatic carcinoma at the end of one year but its clinical symptom from vertebral - body hemangioma already reduced, were gradually disappeared and even completely repaired with continuing of diseased process and their normal life also could be controlled by themselves. Follow - up survey for 6 - 10 years, no one case of reoccurrence was found, this showed that the efficacy of embolization was obvi-ous. Conclusion: vertebral artery embolization in therapy of vertebral - body hemangioma is a safety, effective method and has many advantages superior to operation or radiologic therapy.