摘要
目的分析经皮椎体成形术治疗椎体转移性肿瘤中骨水泥用量与骨水泥渗漏及疼痛缓解情况的关系,并探讨CT诊断术后骨水泥渗漏的价值。方法分析接受经皮椎体成形术治疗的53例单个椎体转移性肿瘤患者的临床资料,比较有骨水泥渗漏和无骨水泥渗漏患者的骨水泥用量及疼痛缓解情况。结果所有经皮椎体成形术均获得成功。术后CT检查较术后即刻的DSA检查更易发现骨水泥渗漏(P<0.05),发生渗漏患者的骨水泥使用量显著高于未发现渗漏的患者(P<0.05),但发生与未发生骨水泥渗漏患者之间的疼痛缓解情况差异无统计学意义(P>0.05)。结论经皮椎体成形术治疗椎体转移性肿瘤术后的CT检查对发现骨水泥渗漏是必要的,在治疗过程中不能过于追求骨水泥的充填。
Objective To evaluate the relationship of cement dasage with cement leakage and pain relief in treatment of vertebral metastatic tumors with percutaneous vertebral plasty（PVP）,and to explore the value of CT in diagnosis of bone cement leakage.Methods Totally 53 patients with single vertebral metastatic tumor underwent PVP.The bone cement dosage,and pain relief were compared between bone cement leakage patients and non-leakage patients.Results All percutaneous vertebral plasty were successful.The postoperative CT examination was more sensitive to find leakage of bone cement than the immediate postoperative DSA images（P〈0.05）.The bone cement dosage of the leakage patients was significantly higher than that of the non-leakage patients（P〈0.05）,but the pain relief of the leakage and non-leakage patients had no significant difference（P〉0.05）.Conclusion The postoperative CT examination is necessary to find leakage of bone cement in percutaneous vertebral plasty of vertebral metastatic tumor,and the perfect bone cement filling should not be pursuit in the process of percutaneous vertebral plasty.
出处
《中国医学影像技术》
CSCD
北大核心
2016年第1期125-128,共4页
Chinese Journal of Medical Imaging Technology
基金
江苏省苏北人民医院科研项目(yzucms201129)
关键词
化学栓塞
治疗性
放射学
介入性
椎体
肿瘤转移
椎体成形术
Chemoembolization, therapeutic, Radiology, interventional
Vertebrae
Metastases
Vertebroplasty
