引用本文:张保亮,欧宣成,张 勇,邓化龙.靶点穿刺骨水泥椎体成形术治疗症状性胸椎血管瘤13例效果分析[J].中国临床新医学,2018,11(11):1125-1128.
【打印本页】   【下载PDF全文】   查看/发表评论  【EndNote】   【RefMan】   【BibTex】
←前一篇|后一篇→ 过刊浏览    高级检索
本文已被:浏览 28次   下载 26 本文二维码信息
码上扫一扫!
分享到: 微信 更多
靶点穿刺骨水泥椎体成形术治疗症状性胸椎血管瘤13例效果分析
张保亮,欧宣成,张 勇,邓化龙
425000 湖南,永州市中心医院脊柱外科
摘要:
[摘要] 目的 探讨靶点穿刺骨水泥椎体成形术(PVP)治疗症状性胸椎椎体血管瘤的临床疗效。方法 回顾性分析2010-02~2016-02该院收治的胸椎症状性血管瘤并行靶点穿刺PVP治疗的患者共13例,其中男3例,女10例,平均年龄为(55.0±9.6)岁,单发胸椎血管瘤8例,多发胸椎血管瘤5例,术后均行病理检查确诊。应用疼痛视觉模拟量表(VAS)和Oswestry功能障碍指数(ODI)评估手术效果。结果 所有患者术后胸背部疼痛症状均有改善(随访时间最低不短于12个月),术后24 h、3个月和12个月VAS评分和ODI指数较术前均有改善(P<0.05)。有2例患者出现骨水泥椎体旁边少许渗漏,但明显症状,未给予特殊处理,其余患者未出现明显并发症。结论 靶点穿刺骨水泥椎体成形术能迅速缓解胸椎椎体血管瘤患者的疼痛症状,是一种安全有效的微创治疗方法。
关键词:  椎体血管瘤  靶点  经皮椎体成形术  疼痛
DOI:10.3969/j.issn.1674-3806.2018.11.16
分类号:R 732.2
基金项目:
Percutaneous vertebroplasty via target puncture for treatment of symptomatic thoracic vertebral hemangioma in 13 cases
ZHANG Bao-liang, OU Xuan-cheng, ZHANG Yong, et al.
Department of Spinal Surgery, Yongzhou Central Hospital, Hunan 425000, China
Abstract:
[Abstract] Objective To investigate the clinical efficacy of percutaneous vertebroplasty(PVP) via target puncture for treatment of symptomatic thoracic vertebral hemangioma(VH). Methods From February 2010 to February 2016, a total of 13 patients with symptomatic thoracic VH were treated with PVP via target puncture in our hospital and they were enrolled in this retrospective study. This study involved 10 males and 3 females, with mean age of (55.0±9.6)years. There were 8 cases of single thoracic VH, and 5 cases of multiple vertebral hemangiomas. All the cases were diagnosed with VH by postoperative pathological examination. Visual Analogue Scale(VAS) and Oswestry Disability Index(ODI) scores were used to assess the operative results. Results All the patients were followed up not less than 12 months and their back pain was significantly improved after treatment. The VAS and ODI scores were significantly improved in all the patients 24 hours, 3 months and 12 months after the operation(P<0.05). A slight leakage of bone cement occurred beside vertebras in 2 cases without clinical symptoms and special treatments. There were no complications in the other patients. Conclusion  PVP via target puncture is a safe and effective minimally invasive treatment method of symptomatic thoracic vertebral hemangioma, especially for relieving the pain.
Key words:  Vertebral hemangioma(VH)  Targets  Percutaneous vertebroplasty(PVP)  Pain