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目的探讨经皮椎体成形术在脊柱转移性肿瘤治疗中的应用,观察其疗效,评价其在脊柱转移性肿瘤治疗中的价值。方法对2008年1月～2010年1月间收治的脊柱转移性肿瘤患者45例共58个椎体行经皮椎体成形术,术后观察其疗效、并发症和复发情况。结果术后所有患者的疼痛情况都有所减轻,疼痛完全消失共计49个,另有9个术后3个月随访时疼痛消失。42例54个椎体穿刺1次即成功;2例3个椎体穿刺2次;1例1个椎体穿刺3次。结论经皮椎体形成术应用于脊柱转移性肿瘤的治疗疗效可靠,并发症少,是一种微创、安全的治疗方法,值得在临床上推广。
Objective To investigate the application of percutaneous vertebroplasty in the treatment of metastatic spinal tumors and observe its curative effect and evaluate its value in the treatment of spinal metastatic tumors. Methods Percutaneous vertebroplasty was performed in 45 patients with metastatic spine tumors from January 2008 to January 2010 in 58 vertebral bodies. The curative effect, complications and recurrence were observed after operation. Results The postoperative pain was relieved in all patients. The pain disappeared completely for a total of 49, and the other 9 pain disappeared at the follow-up of 3 months after operation. 42 cases of 54 vertebral puncture that is successful; 2 cases of 3 vertebral puncture 2 times; 1 case of a vertebral puncture 3 times. Conclusion Percutaneous vertebroplasty applied in the treatment of spinal metastatic tumors is reliable and has few complications. It is a minimally invasive and safe treatment and is worth popularizing clinically.