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| 单侧椎弓根外入路经皮椎体成形和后凸成形术治疗高位胸椎转移性肿瘤 | |
| 引用本文： | 王建,周跃,陈超,刘杰,田华科. 单侧椎弓根外入路经皮椎体成形和后凸成形术治疗高位胸椎转移性肿瘤[J]. 中国矫形外科杂志, 2010, 18(1): 34-37 |
| 作者姓名： | 王建 周跃 陈超 刘杰 田华科 |
| 作者单位： | 第三军医大学新桥医院骨科,重庆,400037 |
| 摘 要： | [目的]探讨单侧椎弓根外入路经皮椎体成形(percutaneous vertebroplasty,PVP)和后凸成形术(percuta-neous kyphoplasty,PKP)治疗高位胸椎转移性肿瘤椎体破坏的可行性和安全性,评价临床疗效。[方法]2008年3月,1例T1~3肺癌转移,男性,59岁,诊断肺癌8个月,上胸椎及左侧肩部剧烈疼痛6个月,药物镇痛效果不佳,无手术可能。使用国产PVP和PKP工具包,采用局部麻醉,在透视引导下单侧椎弓根外入路完成T2和T3椎体强化。随访观察治疗效果。[结果]手术过程顺利,T3和T2椎体分别进行PKP和PVP治疗,T1椎体因患者不能继续耐受而放弃。T3椎体PKP时间57 min,骨水泥填充量1.9 ml,T2椎体PVP时间49 min,骨水泥填充量1.5 ml。T2椎体左侧椎弓根破坏骨水泥外漏但无临床症状,无其它并发症发生。患者术后5 d出院。术前、术后2 d和3个月随访时VAS评分分别为10分、3分和6分,使用镇痛药物可控制疼痛。[结论]单侧椎弓根外入路PVP和PKP是治疗高位胸椎转移性肿瘤的安全有效方法,能够有效缓解疼痛。 |
| 关 键 词： | 经皮椎体后凸成形术 经皮椎体成形术 胸椎 肿瘤转移 |
Treatment of high thoracic spine with metastasis by one side extrapedicular approach of percutaneous vertebroplasty and kyphoplasty |
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| WANG Jian,ZHOU Yue,CHEN Chao,et al.. Treatment of high thoracic spine with metastasis by one side extrapedicular approach of percutaneous vertebroplasty and kyphoplasty[J]. Orthopedic Journal of China, 2010, 18(1): 34-37 | |
| Authors: | WANG Jian ZHOU Yue CHEN Chao et al. |
| Affiliation: | WANG Jian,ZHOU Yue,CHEN Chao,et al.Department of Orthopaedics,Xinqiao Hospital,The Third Military Medical University,Chongqing,400037,China |
| Abstract: | [Objective]To explore the feasibility and safety of percutaneous kyphoplasty(PKP) and percutaneous vertebroplasty(PVP) treating osteolytic lesions of high thoracic vertebra with metastasis by one side extrapedicular approach,and to assess the clinical result of minimally invasive technique. [Methods]In March 2008,one patient(male,59 years old) with T1~3 vertebral metastases of lung cancer diagnozed 8 months ago was selected.The symptoms included extremely severe pain in upper thoracic spine and left should.... |
| Keywords: | percutaneous kyphoplasty percutaneous vertebroplasty thoracic vertebra metastsis |
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