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《经皮椎体成形术和椎体后凸成形术治疗脊柱恶性肿瘤的临.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、478.-——介入放射学杂志2012年6月第2l卷第6期JInterventRadiol2012,Vo1.21,No.6-——·非血管介入Non.vascularintervention·经皮椎体成形术和椎体后凸成形术治疗脊柱恶性肿瘤的临床应用王艳伟,倪才方,陈珑,李智,杨超【摘要】目的探讨并比较经皮椎体成形术(PVP)与椎体后凸成形术(PKP)治疗脊柱恶性肿瘤的临床应用价值。方法自2007年12月一2011年7月苏州大学附一医院对45例脊柱恶性肿瘤患者实施PVP或PI(P,其中PVP组30例46节椎体、PK
2、P组l5例2O节椎体。通过观察两组住院时间、住院费用、并发症、疼痛视觉模拟评分(VAS)和日常生活活动能力评分(改良巴氏指数BI)来评价治疗效果。结果术后两组VAS评分及BI评分与术前比较差异有统计学意义(P<0.05),两组间VAS评分和BI评分差值比较无统计学意义(P>0.05)。两组间住院时间及住院费用比较差异有统计学意义(尸<0.05),PVP治疗费用及住院时间低于PKP组(P<0.05)。PVP组、PKP组骨水泥渗漏的发生率为分别为30%(9例)、13.3%(4例),差异有统计学意义(P3、。两组均无肺栓塞等严重并发症发生。结论采用PVP及PKP治疗脊柱恶性肿瘤均能迅速改善临床症状。PKP骨水泥渗漏发生率低,但价格昂贵。住院时间长;PVP组操作简便,疗效确切,费用低廉,但骨水泥渗漏发生率相对较高。【关键词】脊柱恶性肿瘤;经皮椎体成形术;经皮椎体后凸成形术中图分类号:R681文献标志码:A文章编号:1008.794X(2012).06.0478.04ClinicalappHcationofpercutaneousvertebroplastyandk~ho#astyintreatingmaligna4、nttumorsofspineWANGYah-wei,NICa-fang,CHENLong,LI—Zhi,YANG·Chao.DepartmentofInterventionalRadiology,theFirstAffiliatedHospitalofSoochowUniversity,Suzhou215006,ChinaCorrespondingauthor:NICai-fang,E-mail:cjr.nicaifang@vip.163.corn.【Abstract】ObjectiveToevaluate5、percutaneousvertebroplasty(PVP)andpercutaneouskyphoplasty(PKP)intreatingmalignanttumorsofthoracolumbarspine,andtocomparedtheadvantagesanddisadvantagesofPVPandPKP.MethodsDuringtheperiodfromDec.2007toJuly2011.PVPorPKPwascarriedoutin45patientswiththoracolumbar6、tumorsinauthorshospita1.PVPgroupincluded30caseswith46diseasedvertebrae,andPKPgrouphad15caseswith20diseasedvertebrae.Thehospitalizationdays,hospitalizationcostandtheincidenceofcomplicationswererecorded,andthevisualanaloguepainscale(VAS)andtheactivitiesofdail7、ylivingscale(BI)weremeasuredbeforeoperationaswellasatoneweek,oneand3monthsafteroperation.Theresultswereanalyzedandthetherapeuticefectswereevaluated.ResultsStatisticallysignificantdifferenceinVASscoresandBIscoresexistedbetweenpreoperativedataandpostoperative8、onesinbothgroups(PO.05).Alsostatisticallysignificantdiferencesinhospitalizationdaysandhospitalizationcost
3、。两组均无肺栓塞等严重并发症发生。结论采用PVP及PKP治疗脊柱恶性肿瘤均能迅速改善临床症状。PKP骨水泥渗漏发生率低,但价格昂贵。住院时间长;PVP组操作简便,疗效确切,费用低廉,但骨水泥渗漏发生率相对较高。【关键词】脊柱恶性肿瘤;经皮椎体成形术;经皮椎体后凸成形术中图分类号:R681文献标志码:A文章编号:1008.794X(2012).06.0478.04ClinicalappHcationofpercutaneousvertebroplastyandk~ho#astyintreatingmaligna
4、nttumorsofspineWANGYah-wei,NICa-fang,CHENLong,LI—Zhi,YANG·Chao.DepartmentofInterventionalRadiology,theFirstAffiliatedHospitalofSoochowUniversity,Suzhou215006,ChinaCorrespondingauthor:NICai-fang,E-mail:cjr.nicaifang@vip.163.corn.【Abstract】ObjectiveToevaluate
5、percutaneousvertebroplasty(PVP)andpercutaneouskyphoplasty(PKP)intreatingmalignanttumorsofthoracolumbarspine,andtocomparedtheadvantagesanddisadvantagesofPVPandPKP.MethodsDuringtheperiodfromDec.2007toJuly2011.PVPorPKPwascarriedoutin45patientswiththoracolumbar
6、tumorsinauthorshospita1.PVPgroupincluded30caseswith46diseasedvertebrae,andPKPgrouphad15caseswith20diseasedvertebrae.Thehospitalizationdays,hospitalizationcostandtheincidenceofcomplicationswererecorded,andthevisualanaloguepainscale(VAS)andtheactivitiesofdail
7、ylivingscale(BI)weremeasuredbeforeoperationaswellasatoneweek,oneand3monthsafteroperation.Theresultswereanalyzedandthetherapeuticefectswereevaluated.ResultsStatisticallysignificantdifferenceinVASscoresandBIscoresexistedbetweenpreoperativedataandpostoperative
8、onesinbothgroups(PO.05).Alsostatisticallysignificantdiferencesinhospitalizationdaysandhospitalizationcost
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