[1]杨祚璋,张建华,许建波,等.经皮椎体成形术治疗症状性胸、腰椎体血管瘤[J].中国微创外科杂志,2006,06(4):279-281.
　Yang Zuozhang,Zhang Jianhua,Xu Jianbo,et al.Percutaneous vertebroplasty for symptomatic hemangiomas in thoracic or lumbar vertebrae[J].Chinese Journal of Minimally Invasive Surgery,2006,06(4):279-281.
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经皮椎体成形术治疗症状性胸、腰椎体血管瘤()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
06
期数:
2006年4期
页码:
279-281
栏目:
出版日期:
2006-04-20

文章信息/Info

Title:
Percutaneous vertebroplasty for symptomatic hemangiomas in thoracic or lumbar vertebrae　
作者:
杨祚璋; 张建华; 许建波; 李浴; 彭敏; 刘鹏杰; 袁涛; 钱保生; 张晋煜; 李文忠; 李建林; 肖砚斌; 栾丽
昆明医学院第三附属医院,云南省肿瘤医院骨科,昆明,650118
Author(s):
Yang Zuozhang;  Zhang Jianhua; Xu Jianbo;  et al.
Department of Orthopaedics, Third Affiliated Hospital of Kunming Medical College, Kunming650118, China
关键词:
经皮椎体成形术; 脊椎; 血管瘤
Keywords:
Percutaneous vertebroplasty; 　Spine; 　Hemangioma
分类号:
R732.2
文献标志码:
A
摘要:
目的探讨经皮椎体成形术(percutaneous vertebroplasty,PVP)治疗症状性椎体血管瘤的临床疗效.方法2002年12月～2005年4月共治疗10例,其中胸椎6例,腰椎4例,均在数字减影血管造影引导下进行,单侧或双侧椎弓根入路进针.PMMA按粉、液及造影剂比例为3:2:1进行调配,"牙膏期"用螺旋式加压装置推入,骨水泥注射量胸椎为4～6 ml,平均4.8 ml,腰椎为5～8 ml,平均6.0 ml.结果10例PVP顺利完成,手术时间25～60 min,平均39.5 min.术中出血量10～50 ml,平均19.6 ml.无骨水泥渗漏、肺动脉栓塞等并发症发生.10例术后随访2～30个月,平均18个月,9例症状体征消失,未出现新的椎体压缩性骨折,血管瘤无复发;1例L3血管瘤术后1年仍感腰部轻度阵发性隐痛,但可正常生活工作,无神经功能障碍出现.结论经皮椎体成形术是治疗症状性椎体血管瘤的安全有效的微创手术.
Abstract:
Objective　To study clinical results of percutaneous vertebroplasty (PVP) for the treatment of symptomatic vertebral hemangiomas.　M ethods　A total of 10 patients with vertebral hemangioma ( thoracic vertebrae, 6 patients; lumbar vertebrae, 4 patients) were treated from December2002 toApril2005. Under the guidance ofdigital subtraction angiography (DSA), a needlewas advanced into the vertebral body via a unipedicular or bipedicular approach. The preparation of polymethylmethacrylate (PMMA) wasmixed with 3 doses ofpowder, 2 doses of liquid, and 1 dose of contrastuntil a doughy, cohesive consistency similar to toothpastewas obtained. Then the PMMA cementwas injected into the vertebral body by using a high-pressure plunger. The total injection volume ranged 4~6 ml (mean, 4. 8 ml) in the thoracic vertebrae and 5~8 ml (mean, 6. 0 ml) in the lumbar vertebrae.　 Results　The procedurewas completed smoothly in all10 patients. The operation time was 25~60 min (mean, 39. 5 min) and the intraoperative blood losswas 10~50 ml (mean, 19. 6 ml). No incidence of cement leakage orpulmonary embolism occurred. The 10 patientswere followed for2~30 months (mean, 18 months). In 9 patients, free of signs and symptomswas achieved and no vertebral compression fracture or recurrence of hemangioma was observed. One patient with L3hemangioma still complained of mild and paroxysmal loin pain at1 yearafterprocedure, but the patients' normalactivitieswere unaffected and no nervous dysfunctionwas found. Conclusions　Percutaneous vertebroplasty is a safe and effective treatment for symptomatic vertebral hemangiomas.

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更新日期/Last Update: 2014-01-27