经皮穿刺椎体成型术治疗椎体良、恶性肿瘤的临床观察

目的：探讨经皮穿刺椎体成型术治疗椎体良、恶性肿瘤的临床应用价值。方法：对37例共59个椎体行经皮穿刺椎体成型术,其中血管瘤2例2个椎体、椎体恶性肿瘤35例57个椎体。采用单侧或双侧椎弓根入路,在X线定位下,将不透X线骨水泥（在骨水泥甲基丙烯酸树脂多聚体PMMA粉剂中加入2ml对比剂以透视显影）按粉剂与液体为3：2比例混合调制成糊状,用1ml注射器匀速缓慢注入病变椎体。结果：经皮穿刺椎体成型术后。27例患者术后疼痛完全缓解,6例明显缓解;2例有所缓解;随访12个月,无复发迹象。本组没有发生并发症。结论：经皮穿刺椎体成型术治疗椎体良、恶性肿瘤是一种创伤小、安全、有效的治疗手段。

The clinical application of percutaneous vertebroplasty for spinal benign and malignant tumors

Objective：To evaluate the clinical application value of percutaneous vertebroplasty for the treatment of spinal benign and malignant tumors. Methods：37 cases with 59 centrums were treated by pemutaneous vertebroplasty, in which 2 cases had hemanglomas with 2 eentrums, 35 eases suffered from malignant tumors with 57 eentrmns. The X-ray opaque bone cement, which was mixed by powder and liquid with the ratio of 3 ： 2, was injected into the morbid ccntnans slowly with a syringe of 1 ml. This process was positioned by X- ray. Results： After the treatment of percutaneous vertebroplasty, the symptom of pain was relieved completely in 27 cases, apparently in 6 eases , and slightly in 2 eases. All of the cases were follow-up for 12 months, and no complications occurred. Condusion：Percutaneous vertebroplasty for spinal benign and malignant tumors is a minor wounded, safe and effective treatment method.