椎体成形术治疗症状性椎体血管瘤(附12例结果分析)

• 作 者: 陆军 赵海涛 刘晓莉 石梅 韩良辅 傅莉 王志祥
• 机 构: 第四军医大学西京医院放疗科,第四军医大学西京医院放射科,第四军医大学西京医院放疗科,第四军医大学西京医院放疗科,第四军医大学西京医院放疗科,第四军医大学西京医院放疗科,第四军医大学西京医院放疗科 陕西
• 出 处: 实用放射学杂志
• 发表日期: 2003年12期
• 关键词: 经皮穿刺 椎体成形术 椎体血管瘤

目的　探讨经皮穿刺椎体成形术在症状性椎体血管瘤治疗中的作用及意义。方法　有临床症状并经影像学检查及病理证实的椎体血管瘤 12例 ,在CT引导下完成经皮穿刺椎体成形术治疗 ,以视觉模拟评分法评价疗效并随访观察。结果　 11例患者症状明显缓解或消失 ,椎体获得加固 ,1例无变化 ,有效率 91.7%。出现硬膜外静脉栓塞并发症 1例 ,经治疗好转。 1例 5个月后症状复发行外科手术治疗。结论　椎体成形术在治疗症状性椎体血管瘤上简单有效 ,亦可成为其综合治疗方法之一。

Objective To investigate the role and significance of percutaneous vertebroplasty in the treatment of symptomatic vertebral hemangioma. Methods Twelve cases of vertebral hemangiomas with clinical symptoms and confirmed by imaging examination and pathology were treated with percutaneous vertebroplasty under CT guidance. The visual analogue scale was used to evaluate the curative effect and follow-up. Results The symptoms of 11 patients were relieved or disappeared, and the vertebral body was strengthened. One case had no change, the effective rate was 91.7%. Epidural embolism occurred in 1 case, after treatment improved. A case of 5 months after the recurrence of symptoms of surgical treatment. Conclusions Vertebroplasty is simple and effective in the treatment of symptomatic vertebral hemangiomas and may be one of its integrated treatments.