| 经皮椎体成形术治疗上胸椎转移瘤的应用 |
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| 引用本文： | 顾一峰,吴春根,张继,王涛,王卫国,程永德.经皮椎体成形术治疗上胸椎转移瘤的应用[J].介入放射学杂志,2009,18(2). |
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| 作者姓名： | 顾一峰 吴春根 张继 王涛 王卫国 程永德 |
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| 作者单位： | 上海交通大学附属第六人民医院放射科,200233 |
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| 摘 要： | 目的 评价经皮椎体成形术(PVP)治疗上胸椎转移瘤的疗效.方法 回顾分析20例(31个椎体)T1～T4水平的转移性肿瘤的PVP资料.其中9个T1椎体、7个T2椎体、8个T3椎体和7个T4椎体.采用视觉模拟评分(VAS)评价患者术前、术后3 d和1个月的疼痛程度.分析上胸椎PVP穿刺技术、骨水泥注射量和术后并发症.结果 所有患者手术均获成功.骨水泥分别在T1、T2、T3和T4椎体注入1.7～2.8 ml、1.8～3.2 ml、1.7～3.1 ml和1.6～3.1 ml,平均(2.4±0.8)ml.术后疼痛缓解率为100%.术前VAS为7.2±2.0,术后3 d VAS为2.5±2.3(P<0.01).术后1个月VAS为2.2±2.3,与术前比较差异有统计学意义(P<0.01).13个椎体出现骨水泥外渗,包括5个椎旁渗漏,3个静脉渗漏,3个椎旁软组织渗漏,2个硬膜外渗漏.除1例出现轻微并发症,其他未发生严重临床症状的并发症.结论 PVP治疗上胸椎转移瘤安全、有效.
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| 关 键 词： | 胸椎 肿瘤 经皮椎体成形术 |
Application of percutaneous vertebroplasty in the upper thoracic vertebral metastases |
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| GU Yi-feng,WU Chun-gen,ZHANG Ji,WANG Tao,WANG Wei-guo,CHENG Yong-de.Application of percutaneous vertebroplasty in the upper thoracic vertebral metastases[J].Journal of Interventional Radiology,2009,18(2). |
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| Authors: | GU Yi-feng WU Chun-gen ZHANG Ji WANG Tao WANG Wei-guo CHENG Yong-de |
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| Institution: | GU Yi-feng,WU Chun-gen,ZHANG Ji,WANG Tao,WANG Wei-guo,CHENG Yong-de. Department of Radiology,the Sixth People's Hospital,Shanghai Jiaotong University,Shanghai 200233,China |
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| Abstract: | Objective To evaluate percutaneous vertebroplasty (PVP) in treating the upper thoracic vertebral metastases. Methods PVP was performed in 20 patients with a total of 31 metastatic vertebral lesions, the metastasis was located at T1 (n = 9), T2 (n = 7), T3 (n = 8) or T4 (n = 7). The clinical data and the therapeutic results were retrospectively analyzed. By using visual analog scale (VAS) the severity of back pain was evaluated just before and 3 days, one month after the procedure. The technique of upper tho... |
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| Keywords: | thoracic vertebra neoplasm percutaneous vertebroplasty |
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