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Clinical applications of percutaneous vertebroplasty
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF RADIOLOGY
- Issue:
- 4
- DOI:
- 10.3760/j.issn:1005-1201.2002.04.004
- Key Word:
- 脊柱骨折;放射学,介入性;聚甲基丙烯酸类;脊柱疾病
Abstract： 目的探讨经皮穿刺椎体成形术的临床应用价值.方法对57例共79个椎体行经皮穿刺椎体成形术,其中血管瘤6例6个椎体、骨质疏松9例16个椎体、椎体恶性肿瘤42例57个椎体.经CT扫描定位,将不透X线骨水泥(主要成分为粉剂甲基丙烯酸树脂多聚体和液态甲基丙烯酸树脂单体)按粉剂与液体为4∶1比例混合调制成糊状,用1 ml注射器匀速缓慢注入病变椎体.结果经皮穿刺椎体成形术后,骨水泥在CT表现为点状分布3个,斑片状分布6个,团状分布42个,弥散分布28个.CT和平片随访观察骨水泥密度、形态与术后所见无变化,未见椎体进一步压缩.15例良性病变全部达到止痛效果(15/15),恶性肿瘤止痛效果达90.5%(38/42).止痛从注入骨水泥开始到7 d显效,持续6个月.本组没有发生并发症.结论经皮穿刺椎体成形术适用于椎体血管瘤、骨质疏松、转移瘤等溶骨性病变.
- [1]Dewatre F,Clarisse J,Cotten A,etc.Percutaneous vertebroplasty for osteolytic metastases and myeloma: effects of the percentage of lesion filling and the leakage of methyl methacrylate at clinical follow-up.[J].1996,200(2).
- [2]B, Padovani,O, Kasriel,P, Brunner,etc.Pulmonary embolism caused by acrylic cement: a rare complication of percutaneous vertebroplasty.[J].1999,20.
- [3]Weill A,Sola Martinez T,Simon JM,etc.Spinal metastases: indications for and results of percutaneous injection of acrylic surgical cement.[J].1996,199(1).
- [4]H Deramond,N.T Wright,S.M Belkoff.Temperature elevation caused by bone cement polymerization during vertebroplasty[J].1999,25(Supplement 1).
- [5]D, San Millán Ruíz,K, Burkhardt,B, Jean,etc.Pathology findings with acrylic implants.[J].1999,25.
- [6]M E, Jensen,A J, Evans,J M, Mathis,etc.Percutaneous polymethylmethacrylate vertebroplasty in the treatment of osteoporotic vertebral body compression fractures: technical aspects.[J].1900,18.
- [7]Bas T,Aparisi F,Bas JL.Efficacy and safety of ethanol injections in 18 cases of vertebral hemangioma: a mean follow-up of 2 years.[J].2001,26(14).
- [8]Deramond H,Depriester C,Le-Gars D,etc.Percutaneous vertebroplasty with polymethylmethacrylate. Technique, indications, and results.[J].1998,36(3).
- [9]孙诚,张贵祥,郭庆林.表阿霉素骨水泥经皮介入治疗小鼠移植瘤[J].1997,(5).