[1]朱　林　励　宁　周　渊　祝剑虹　林毅兴　成惠林.椎体成形术在椎体肿瘤治疗中的应用（附19例分析）[J].中国临床神经外科杂志,2016,(07):404-406.[doi:10.13798/j.issn.1009-153X.2016.07.005]
　ZHU Lin,LI Ning,ZHOU Yuan,et al.Vertebroplasty in the treatment of vertebral tumors (report of 19 cases)[J].,2016,(07):404-406.[doi:10.13798/j.issn.1009-153X.2016.07.005]
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椎体成形术在椎体肿瘤治疗中的应用（附19例分析）()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2016年07期
页码:
404-406
栏目:
论著
出版日期:
2016-07-15

文章信息/Info

Title:
Vertebroplasty in the treatment of vertebral tumors (report of 19 cases)
文章编号:
1009-153X（2016）07-0404-03
作者:
朱　林　励　宁　周　渊　祝剑虹　林毅兴　成惠林
210002 南京，南京军区南京总医院神经外科
Author(s):
ZHU Lin;  LI Ning;  ZHOU Yuan;  ZHU Jian-hong;  LIN Yi-xin;  CHENG Hui-lin
Department of Neurosurgery, Nanjing General Hospital, Nanjing Command, PLA, Nanjing 210002, China
关键词:
脊柱肿瘤; 椎体成形术; 疗效
Keywords:
Vertebral tumor;  Pain;  Compression fractures;  Vertebroplasty
分类号:
R 738.1; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2016.07.005
文献标志码:
A
摘要:
目的 探讨椎体成形术在椎体肿瘤治疗中的应用效果。方法 回顾性分析2012年6月至2015年8月应用椎体成形术治疗的19例椎体肿瘤的临床资料。结果 共成形29个椎体。经皮手术14例（24个椎体），有6例（6个椎体）发生渗漏；术后3 d，11例疼痛明显缓解，2例改善不明显，1例加重。开放式脊柱手术中联合应用5例（5个椎体），均效果良好。结论 椎体成形术是治疗椎体肿瘤的创伤小、安全、有效的治疗手段。
Abstract:
Objective To discuss the clinical application of vertebroplasty (VP) in the treatment of vertebral tumors. Methods The clinical data of 19 patients with vertebral tumors, of whom, 14 only underwent percutaneous VP for compression fracture and 5 open surgery for decompression and internal fixation and VP from June, 2012 to August, 2015, were analyzed retrospectively. The outcomes and complications were discussed. Results The percutaneous VP were carried out in 24 vertebras of 14 patients. The leakage of bone cement occurred in 6 vertebras of 6 patients undergoing percutaneous VP (6/24). Of 14 patients undergoing percutaneous VP, 11 received obvious relief of pain, 2 mild relief and 1 deterioration of pain 3 days after VP. The pain was significantly relieved after the operation in 5 patients undergoing the open surgery and VP. Conclusions The vertebroplasty, which was a minimally invasive, safe and effective method to relieve the pain induced by compression fractures in the patients with vertebral tumors, should be spread clinically.

参考文献/References:

[1] Kobayashi K, Shimoyama K, Nakamura K, et al. Percutane- ous vertebroplasty immediately relieves pain of osteoporotic vertebral compression fractures and prevents prolonged immobilization of patients [J]. Eur Radiol, 2005, 15(2): 360- 367.
[2] Ronald Melzack, Joel Katz. Textbook of Pain [M]. 北京：科 学出版社、Harcourt Asia和Churchill Livingstone联合出 版，2003. 385-427.
[3] Galibert P, Deramond H, Rosat P, et al. Preliminary note on the treatment of vertebral angioma by percutaneous acrylic vertebroplasty [J]. Neurochirurgie, 1987, 33(2): 166-168.
[4] 刘爱华，杨新健，吴中学，等. 椎体成形术治疗症状性颈椎 血管瘤2例[J]. 中国微侵袭神经外科杂志，2005，（9）： 395.
[5] Klingler JH, Sircar R, Deininger MH, et al. Vesselplasty: a new minimally invasive approach to treat pathological ver- tebral fractures in selected tumor patients--preliminary results [J]. Rofo, 2013, 185(4): 340-350.
[6] Gerszten PC. The role of minimally invasive techniques in the management of spine tumors: percutaneous bone cement augmentation, radiosurgery, and microendoscopic app- roaches [J]. Orthop Clin North Am, 2007, 38(3): 441-450.
[7] Salapura V, Jeromel M. Minimally invasive (percutaneous) treatment of metastatic spinal and extraspinal disease--a review [J]. Acta Clin Croat, 2014, 53(1): 44-54.
[8] Komemushi A, Tanigawa N, Kariya S, et al. Percutaneous vertebroplasty for compression fracture: analysis of vertebral body volume by CT volumetry [J]. Acta Radiol, 2005, 46: 276-279.

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更新日期/Last Update: 1900-01-01