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目的探讨椎体成形术(PVP)治疗脊柱转移瘤的临床疗效。方法 24例脊柱转移瘤患者行PVP治疗,术后3 d按视觉模拟评分法(VAS)进行疼痛程度评估,术后3个月采用日常生活自理能力(ADL)量表对患者生活质量进行评估。结果术前平均VAS评分为(6.9±2.3)分,术后3 d为(2.1±1.8)分,手术前后比较差异有统计学意义(P<0.05),术后3个月ADL评分较术前明显改善,差异具有统计学意义(P<0.05)。结论 PVP治疗脊柱转移瘤具有较好的止痛效果,改善患者的生活质量,可推广应用。
Objective To investigate the clinical efficacy of vertebroplasty (PVP) in the treatment of spinal metastases. Methods Twenty-four patients with spinal metastases underwent PVP. The degree of pain was assessed by visual analogue scale (VAS) 3 days after operation. The quality of life was assessed by ADL scale at 3 months after operation. Results The mean preoperative VAS score was (6.9 ± 2.3) points and (3) postoperative 3 days was (2.1 ± 1.8) points. The difference was statistically significant before and after surgery (P <0.05). The ADL score at 3 months after operation was significantly lower than that before operation Significant improvement, the difference was statistically significant (P <0.05). Conclusion PVP treatment of spinal metastases has a better analgesic effect, improve the quality of life of patients, can be extended and applied.