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作者的目的在于随访确认甲基丙烯酸树脂对脊椎病灶的充填及漏出之百分率并探讨有何临床意义。选择对象为有1个或几个椎体的溶骨性转移瘤及骨髓瘤,但由于病变的程度或数量以及患者健康状况差而不能行手术治疗之患者。作者对37例行40次经皮穿刺脊椎修复术,其中2例各有2~3个脊椎病变。男14例,女23例,年龄36~83岁。脊椎病变中29例为转移瘤,8例为骨髓瘤。病变分布:颈椎5例,胸椎12例,腰椎23例。脊柱是恶性溶骨性病变的好发部位,
The authors aimed to follow-up to confirm the percentage of filling and leakage of methacrylate resin to spinal lesions and to explore the clinical significance. The selected patients were those with osteolytic metastases and myelomas with one or several vertebral bodies, but patients who could not undergo surgical treatment because of the degree or number of lesions and poor patient health status. The authors performed 40 percutaneous puncture spine repairs in 37 cases, of which 2 cases each had 2 to 3 spinal lesions. There were 14 males and 23 females, aged 36-83 years old. Of the spinal lesions, 29 were metastatic tumors and 8 were myeloma. Distribution of lesions: 5 cases of cervical vertebrae, 12 cases of thoracic vertebrae, and 23 cases of lumbar vertebrae. The spine is a good site for malignant osteolytic lesions.