摘要
目的探讨经皮椎体后凸成形术(PKP)治疗脊柱转移肿瘤的临床效果。方法应用PKP治疗脊柱转移肿瘤36例,共60个椎体。单个椎体注射骨水泥2.5～6(3.5±0.5)ml。术后行X线等影像学检查并评估临床效果。结果术后患者症状均减轻,其中1 h止痛5例,12 h后止痛22例,24 h后止痛9例。生活质量明显提高,无严重并发症发生。VAS评分由术前平均81分±3分降至术后平均20分±2分。随访3～41(28.5±0.8)个月,随访期内因肿瘤复发死亡12例;无PKP注射部位复发疼痛的病例。结论 PKP治疗脊柱转移肿瘤具有微创、迅捷、止痛效果满意等优点,是一种安全、有效的方法。
Objective To explore the therapeutic value of percutaneous kyphoplasty(PKP) for metastastic spinal tumors.Methods A total of 36 patients with metastastic spinal tumors(60 vertebrae) underwent PKP.The dose of bone cement ranged from 2.5~6(3.5±0.5)ml in single vertebrae.X-ray and other imaging examinations and clinical evaluation were carried out postoperatively.Results There were no serious complications.Pain relief appeared in all patients,and the quality of life was improved.Complete pain relief was seen in 5 cases 1 h after operation and 22 cases 12h,9 cases 24h.Preoperative and postoperative VAS score was 81±3 and 20±2 respectively.Mean following-up time was(28.5±0.8) months(for 3 to 41 months).12 patients of them dead during follow-up because of neoplasm metastasis.No patient felt pain again.Conclusions PKP in the treatment of metastatic spinal tumors is minimally invasive and instant in pain-relief.It is also safe and effective.
出处
《临床骨科杂志》
2011年第6期633-635,共3页
Journal of Clinical Orthopaedics
