经皮椎体成形术治疗椎体骨髓瘤9例

目的观察经皮椎体成形术治疗椎体骨髓瘤的临床疗效。方法对9例(15椎)椎体骨髓瘤的患者行经皮椎体成形术,依据WHO标准评定术后疗效。结果本组病例均成功定位穿刺,2例骨水泥渗漏至前方或侧方,1例少量骨水泥渗漏至椎管内静脉丛,1例骨水泥椎间盘内渗漏,除1例偶有疼痛外,均无不适症状出现。经随访6～42个月,手术1周后疼痛均有不同程度缓解并逐步改善,随访期内疗效均保持稳定。结论经皮椎体成形术治疗椎体骨髓瘤,可迅速缓解疼痛、稳定椎体,提高和改善患者的生活质量,是一个微创、安全较理想的治疗手段。

Percutaneous vertebroplasty in the treatment of vertebral body myeloma in 9 cases

Objective To investigate the clinical effect of the percutaneous vertebroplasty in the treatment of vertebral body myeloma. Methods Percutaneous vertebroplasty were performed in 9 patients(15 vertebras) whom had vertebral body myeloma and operation efficacy is assessed by WHO standard. Results All patients in this group were punctured successfully,2 cases were found bone cement leaked on lateral and anterior,1 case were found a few bone cement leaked in veniplex of canalis spinalis,1 case was found bone cement leaked in intervertebral disk,except 1 case feel pain occasionally,the other patients without discomfort symptoms,all patients were followed up for 6 to 42 months,all patients feel pain remission and improve after 1 week,clinical effect was stable in follow up period. Conclusion Percutaneous vertebroplasty in the treatment of vertebral body myeloma can ease pain rapidly and persistently,that increase intensity of vertebral body,it not only increase spinal column stability but also it is a security,effectively,simple minimally invasive treatment way.