46例椎体成形术临床运用.pdfVIP

遵义陌。丫’院砸卜学伊诊文 中乏捕璎 II Il UU N II !!!!!!!!!!!!!!!!曼!!!曼!曼!!!!!!!!!!!!!!曼!曼!!!曼!曼!曼曼皇!NU!!曼!!曼曼!!!!!!!1 46例椎体成形术临床应用 摘 要 目的 评价经皮椎体成形术治疗椎体转移性骨肿瘤、骨质疏松压缩骨折所致 脊背部疼痛的临床疗效，认识相关并发症及防治方法。方法对46ffl]脊背部疼痛 患者行PVP术，所有患者术前均经病史、影像学证实椎体转移性骨肿瘤(20ff0) 或骨质疏松压缩骨折(26例)，病变椎体节段共67节。术前及术后l天采用数字 疼痛评分法(NRS)评测临床疼痛程度，用配对t检验进行统计学评价。术中、术 后观察可能并发症及处理。结果67节椎体均成功施行PVP术。疼痛评分(o一 漏25ff0，其中椎旁软组织渗漏9例，椎间盘漏10例，椎管内硬膜囊外漏6例。1 例椎管内硬膜囊外漏患者出现临床症状加重，药物治疗后症状缓解。无严重危急 生命并发症(如：肺栓塞)发生。结论对因椎体转移性骨肿瘤、骨质疏松压 缩骨折所致脊背部疼痛患者施行椎体成形术是安全、有效的，骨水泥渗漏是最常 见并发症，症状性并发症发生率低。 关键词 转移瘤骨质疏松压缩骨折经皮椎体成形术 遵义陌!#院衙卜；!’仲沦艾 莨之摘嘤 Clinical ofPercutaneous Application Abstract evaluate and effectivenessof of objective：Tosafety Analgesic performance withvertebral tumors malignant percutaneousvertebroplasty(PVP)inpatients body and vertebral was osteoporoticbodycompression in46 with67vertebral and vertebral body performedpatients malignantosteoporotic fracturesverifiedthe and compression by history，imagingpathology．Backpain measurementwas with1 scalenumericalscales quantitative performed1-point rating and1 afterthe in were day procedure．Differencesreportedpain (NRS)before t and were evaluatedwith features paire