CT导引下经皮椎体成形术

CT-Guided Percutaneous Vertebroplasty

目的 探讨经皮椎体成形术PVP在治疗椎体病变中的技术操作问题。方法 自 2 0 0 1年 8月以来在CT导引下对 18例 2 3个椎体共行 2 6侧PVP治疗 ,其中溶骨性转移瘤 7例、骨髓瘤 2例、血管瘤 3例、骨质疏松性压缩骨折 6例。结果 本组病例术后均有不同程度疼痛缓解或消失。无一例发生严重并发症。结论 在熟练掌握PVP的穿刺定位技术 ,熟悉骨水泥的性状和使用方法的前提下 ,PVP技术为椎体病变的治疗提供了一条新的安全有效的途径。

Objective To evaluate percutaneous vertebroplasty(PVP) treatment for benign and malignant vertebral lesions from a technique view. Methods From August 2001,PVP was performed under the guidance of CT in 18 patients with 23 vertebrae involvement,including 8 vertebral metastatic neoplasms of 7 cases,6 osteoporotic fractures,3 hemangiomas and 2 myeloma. Results Partial or complete pain relief was achieved in all patients.No clinically significant complications were noted. Conclusion Maneuver of percutaneous vertebral puncture and use of bone cement is key to guarantee the safety and effectiveness of PVP.PVP offered a simple new,safe and effective way for the treatment of vertebral lesions.