摘要
目的探讨经皮椎体后凸成形术(Percutaneous Kyphoplasty,PKP)治疗椎体后缘破坏的椎体转移瘤的有效性及安全性。方法选取2016年12月~2019年6月我院接受PKP治疗的32例后缘破坏的椎体转移瘤患者为研究对象,采用Oswestry功能障碍指数(ODI)衡量患者功能障碍严重程度、疼痛数字评分法(NRS)衡量疼痛程度。分析PKP治疗前后患者功能障碍、疼痛变化,并评估PKP疗效;观察PKP术中、术后是否发生严重并发症以评价PKP的安全性。结果32例患者中,共37节后缘骨质破坏的椎体转移瘤接受PKP治疗。与术前1天相比,术后3天、1个月、3个月、6个月时,患者ODI及NRS评分均有明显改善(P<0.05)。所有患者术中、术后无严重并发症发生。结论PKP能明显缓解后缘破坏的椎体转移瘤患者的疼痛,改善其生活质量,可作为微创、安全、有效的术式应用于临床。
Objective To evaluate safety and effectiveness of Percutaneous kyphoplasty(PKP)in patients with spinal metastases with posterior wall defects.Methods 32 patients with vertebral metastases with posterior edge destruction received PKP treatment in our hospital from December 2016 to June 2019 were selected as the research objects.Oswestry disability index(ODI)was used to measure the severity of dysfunction,and the pain digital score(NRS)was used to measure the degree of pain.The changes of dysfunction and pain before and after PKP treatment and the efficacy of PKP were analyzed.The safety of PKP was evaluated by observing whether serious complications occurred during and after PKP.Results In 32 patients,37 vertebral metastases with bone destruction at the posterior edge were treated with PKP.Compared with 1 day before operation,ODI and NRS scores were significantly improved at 3 days,1 month,3 months and 6 months after operation(P<0.05).No serious complications occurred during and after operation.Conclusion PKP can significantly relieve the pain and improve the quality of life of patients with vertebral metastases with posterior edge destruction.It can be used as a minimally invasive,safe and effective surgical method in clinical practice.
作者
唐梓瑜
胡鸿
魏欣
廖运国
蒲嘉骐
李超
TANG Ziyu;HU Hong;WEI Xin;LIAO Yunguo;PU Jiaqi;LI Chao(Department of Interventional radiology,Nanchong Central Hospital,Nanchong 637000,Sichuan,China)
出处
《西部医学》
2020年第12期1830-1834,共5页
Medical Journal of West China
