经皮椎体成形术治疗C2椎体转移性肿瘤.pdfVIP

· 248 · 中国介入影像与治疗学 2006年第3卷第4期 hi nt!rv! ! ! ：! ：!! Percutaneousvertebr0plastyfortreatmentofC2vertebral bodytumormetastases LJAO Zheng-yin ．X IEXiao-dong．WANG Chao—hua (DepartmentofOncology，WestChinaHospitalofSichuanUniversity，Chengdu610041，China) ABSTRACT Objective ToexploretechniqueandefficacyofpercutaneousvertebroplastyfortreatmentofC2vertebral bodytumormetastases．M ethods One49yearoldmalepatientwithpulmonaryadenocarcinomaandone48yearoldfemale patientwithbreastcarcinoma．bothofthem occurredC2vertebra1bodymetastaseswith severeneckpain，thefemalecould notwalkforonemonth．UnderCT guidance，13G needlehadbeenpuncturedtoC2vertebralbody inbothcasesfrom later— a1routetransversethespacebetweenvertebra1arteryandcarotidarteryshealth，3—3．5m1ofbonecementhadbeeninjec— tedinbothpatients．Results CT scanshowedtheC2vertebra1bodyhadbeenwel1filledbythebonecement，hadno1eak— ageofbonecementinbothcases．Painwasobviouslyalleviatedrightawayaftertheoperation，andcompletelydisappeared oneweeklater．Nocomplicationoccurred．Themalepatientdiedofmultipleorganmetastaseshalfyearlater．Femalepa— tlenthadreceivedradiationandchemotherapyafterverteroplastywasstillaliveoneyearaftervertebroplasty，hadno un— comfortablefeeling．Conclusion Thispreliminaryexperiencedemonstratesapproachfrom lateralroutetransversethespace betweenvertebralarteryandcarotidarteryshealthunderCT guidancecanprovidesafeaccesstoC2vertebralbodyforper— cutaneousvertebroplastytotreatvertebralbodytumormetastases． KEY WORDS Percutaneousvertebroplasty；Bonecement；C2vertebralbody；Vertebralartery；Carotidarteryshealth 经皮椎体成形术治疗 C2椎体转移性肿瘤 廖正银 ，谢晓东，王朝华 (四川I大学华西医院肿瘤化疗科 ，四川I成都 610041) [摘 要] 目的 探讨经皮 c2椎体成形术 的方法和效果 。方法 1例 49岁的男性肺癌患者和 1例 45岁的女性乳腺癌 患者，出现 c2椎体转移 ，均有 明显的颈部疼痛 ，女性患者因疼痛已不