| 张伟 韩康 李卫勤 邢永军 李耀章 刘增亮.经皮椎体成形术治疗椎体血管瘤疗效观察[J].,2016,16(3):496-499 |
| 经皮椎体成形术治疗椎体血管瘤疗效观察 |
| The Clinical Study of Percutaneous Vertebroplasty for VertebralHemangioma |
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| DOI： |
| 中文关键词: 椎体血管瘤 经皮椎体成形术 疼痛 |
| 英文关键词: Vertebral hemangioma Percutaneous vertebroplasty Pain |
| 基金项目:国家自然科学基金项目(81201633) |
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| 中文摘要: |
| 目的：评估使用经皮椎体成形术（Percutaneous vertebroplast PVP）治疗椎体血管瘤的临床疗效。方法：回顾性分析2008～
2015 年诊断为椎体血管瘤并在我院进行PVP 手术的46 例患者，至少6 个月术后随访，获取相关的临床数据和资料。对患者在术
后疼痛等症状改善，肿瘤复发，Macnab 疗效和治疗安全性等方面进行分析。结果：所有患者均在术后有了明显的疼痛改善(P<0.
05)，并在6个月内随着时间的推移疼痛评分逐步下降。有2 例患者出现术后肿瘤复发，但无明显症状，未给予特殊处理。余未出现
明显并发症。患者的术后SF-36 生存质量评分均较术前有较大提高(P<0.05)。在患者术后6 月时，对其Macnab 疗效进行分析，其
优良率为93.5 %。结论：经皮椎体成形术治疗椎体血管瘤可以有效的改善疼痛症状，且相对安全，并能实现微创治疗。 |
| 英文摘要: |
| Objective:To evaluate the clinical outcomes of percutaneous vertebroplasty (PVP) in treatment of vertebral hemangioma.Methods:The clinical data of 46 patients who were diagnosed as vertebral hemangioma and treated with PVP in our hospital from
2008 to 2015 were retrospectively analyzed. All patients were followed up at least 6 months after the operation. The clinical outcomes,
recurrence, curative effect, life quality and safety were evaluated and compared by visual analogue scale (VAS), modified Macnab criteria
and SF-36 before and after operation.Results:The results of postoperative VAS score, quality of life were obviously improved compared
with preoperative evaluation (P<0.05), and VAS score was gradually decreased with the time after surgery. There were 2 cases recurrence
which had no symptom and no treatment. No other complications were detected. According to the modified Macnab criteria, the outcome
showed the excellent and good rate was 93.5 %.Conclusion:PVP is a safe, effective and minimally invasive treatment for the vertebral
hemangioma, which can obviously relieve the pain symptoms, and significantly improve the lumbar vertebral function and quality of life. |
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