摘要
目的观察分析经皮椎体成形术（PVP）和椎体后凸成形术（PKP）治疗脊柱恶性肿瘤的临床疗效及安全性。方法收集2013年2月-2016年2月来我院治疗的98例脊柱恶性肿瘤患者,随机分为PVP组与PKP组,观察分析两组间的临床治疗效果及安全性。结果 PVP组患者平均住院天数及住院费用均低于PKP组（P〈0.05）;术后两组患者疼痛均有所缓解,而PKP组术后疼痛评分低于PVP组（P〈0.05）;PVP组骨水泥渗漏及腰腿疼痛发生率高于PKP组（P〈0.05）。结论采用PVP与PKP治疗脊柱恶性肿瘤患者,能改善患者临床症状。PVP组较PKP组住院天数及费用更低,而疼痛缓解效力不及PKP组,术后并发症发生率也高于PKP组。
Objective To observe the clinical efficacy and safety of percutaneous vertebral angioplasty（PVP） and vertebral posterior projection（PKP） in the treatment of spinal malignant tumors. Methods 98 cases of spinal malignant tumors were randomly divided into PVP group and PKP group in our hospital from February 2013 to February 2016. The clinical treatment effect and safety of the two groups were observed and analyzed. Results In PVP group, the average days of hospitalization, and hospitalization costs were lower than PKP group（P〈0.05）, postoperative pain of the two groups of patients were relieved, and PKP group postoperative pain scores were lower in the PVP group（P〈0.05）. PVP group bone cement leakage and lumbocrural pain occurrence rate is higher than that of the PKP group（P〈0.05）. Conclusion PVP and PKP in the treatment of spinal malignant tumor patients, can improve the clinical symptoms of patients. Compared with group PVP, the number of hospital days and lower cost of PKP group was lower than that of group PKP, and the incidence rate of postoperative complications was higher than that of group PKP.
出处
《中国继续医学教育》
2016年第23期118-120,共3页
China Continuing Medical Education
关键词
脊柱恶性肿瘤
经皮椎体成形术
椎体后凸成形术
疗效
Spinal malignant tumor
Percutaneous vertebral angioplasty
Post operative treatment
Curative effect
