摘要
目的:探讨椎体成形术治疗颈段椎体病变的方法及其缓解疼痛效果。方法:以2002-09/2004-11解放军广州军区武汉总医院收治的8例颈段椎体病变(9个椎体)患者为观察对象。所有患者行椎体成形术,其中椎体转移瘤6例(7个椎体),血管瘤1例,神经鞘瘤椎体侵犯1例。在C型臂X射线机监视下,用11G椎弓根穿刺针刺入椎体后,注入聚甲基丙烯酸甲酯1.5～2.0mL。治疗前后应用视觉模拟评分(0～100分,0分为无痛,100为剧痛)评定疼痛程度。结果:8例患者全部进入结果分析。术前疼痛平均值为8.21±1.35,骨水泥注射第3天为2.67±1.04(P<0.01)。8例9个椎体均1次穿刺成功。2例骨水泥渗入椎旁软组织内。结论:椎体成形术治疗颈段椎体肿瘤引起的疼痛安全可行,止痛效果好。
AIM： To investigate the method and pain-relieved efficacy of vertebroplasty in the treatment of diseases in cervical vertebrae. METHODS： Vertebroplasty was performed in 8 patients with 9 lesioned cervical vertebrae who were hospitalized in the Wuhan General Hospital of Guangzhou Military Area Command from September 2002 to November. The 8 cases of cervical vertebrae included vertebral metastatic neoplasm （n=6,7 vertebrae）, hemangioma（n=1） and neurilermmoma（n=1）. By C-type arm fluoroscopic monitoring, methylmethacrylate （PMMA） 1.5 to 2.0 mL was injected after a 11G needle was acpunctured into the vertebral body. The pain degree was assessed by using the visual analogue scale（VAS, 0 to 100 marks, 0 as be painlessness and 100 as be severe pain） before and after treatment. RESULTS： All the 8 patients were included in the result analysis. The score of VAS was （2.67±1.04） marks at 3 days after injection of bone cement,significantly lower than the average score of VAS before treatment [（8.21±1.35）marks]（P 〈 0.01）. Nine vertebral bodies of the 8 patients were all acupunctured successfully with single manipulation. Bone cement leakage into adjacent paravertebral soft tissue occurred in 2 cases. CONCLUSION： Vertebroplasty is an effective and safe treatment for pain induced by tumors in cervical vertebrae with satisfactory analgesic outcomes.
出处
《中国临床康复》
CSCD
北大核心
2005年第26期18-19,i0001,共3页
Chinese Journal of Clinical Rehabilitation
