经皮椎体成形术临床应用的价值(附4例报告)

An evaluation of percutaneous vertebroplasty

目的评价和探讨经皮椎体成形术临床应用的价值。方法在CT导引下用国产TH胶对4例椎体溶骨性病变行经皮穿刺椎体成形术治疗。结果术后疼痛均得到控制或明显改善,但由于神经损伤所致的下肢无力则无明显疗效。TH胶的理化性能完全适用于经皮椎体成形术,在治疗过程未出现严重并发症。随访1至10个月,未见局部症状复发。结论椎体成形术对于椎体溶骨性病变是一种有效的、创伤性小的冶疗方法,具有缓解疼痛、加固椎体及稳定脊柱的作用,国产TH胶可作为椎体成形术的成形材料。

Objective To evaluate and discuss the clinical application of percutaneous vertebroplasty.The review of the previous articles and case report are included.Methods Percutaneous vertebroplasty was performed on 4 patients with bone lytic or expansible lesions in vertebra.The plasty agent used in this group was TH glue made by a local supplier.Results Good pain control was obtained in all 4 patients while lower limb weakness was not apparently improved after the treatment.The TH glue met the chemical and mechanical requirement of percutaneous vertebroplasty.No serious complication was observed during the treatment.Local symptom was well controlled in a follow-up of 1-10 months.Conclusion Percutaneous vertebroplasty is an effective and less-invasive treatment for lytic and expansible lesions in vertebra.Successful pain control,stabilization of the vertebra and spinal column are considered as the major clinical effects of percutaneous vertebroplasty.TH glue is a safety material for vertebroplasty.