活检结合PKP早期诊治椎体恶性肿瘤的临床评价.pdfVIP

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活检结合PKP早期诊治椎体恶性肿瘤的临床评价.pdf

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2005 I 2005 Abstract Clinical evaluation of early diagnosis and treatment of vertebral malignant tumors with combined biopsy and percutaueous kyphoplasty(PKP). [Objective] To evaluate the significance of early diagnosis and treatment of vertebral tumors with combined biopsy and percutaueous kyphoplasty. [Methods] Combined biopsy and percutaueous kyphoplasty(PKP) were performed in 17 patients of 23 vertebral bodies metastatic neoplasm. All patients were done by G-arm fluoroscopy and punctured by two sides, biopsy was done first, and then PKP was done. The changes of the height of vertebral bodies, the VAS, the score of activity, the using of analgesic, the complication and recurrence rate were investigated. Recorded tissue dose of biopsy and calculated the rate of masculine. [Results] The successive rate of PKP was 100%. The meam of biopsy quantity was 903 and the rate of masculine was 87 20/23. The mean height of the anterior, media and posterior vertebral bodies was 2.0±0.6cm, 1.8±0.6cm, 2.5±0.7cm preoperatively and 2.5±0.6cm, 2.4±0.6 cm , 2.9±0.6cm postoperatively. The VAS and the score of activity were decreased from 8.1±0.5 and 3.4±