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目的:探讨CT引导下经皮穿刺椎体成形术(PVP)治疗脊椎转移瘤晚期疼痛的方法和效果。方法:回顾性分析27例脊椎转移瘤患者在CT引导下行经皮穿刺椎体成形术的镇痛效果和并发症。结果:27例35个椎体CT下穿刺准确率100%。术后患者均有不同程度的疼痛缓解。1个月时疼痛完全缓解(CR)19例,部分缓解(PR)8例。结论:CT引导下椎体成形术操作简便、安全、镇痛效果好,对提高患者的生存质量有很好的应用价值。
Objective: To investigate the method and effect of CT-guided percutaneous vertebroplasty (PVP) on advanced pain of spinal metastases. Methods: The analgesic effect and complications of percutaneous vertebroplasty under CT guidance were retrospectively analyzed in 27 patients with spinal metastases. Results: The accuracy of puncturing under CT in 27 cases was 100%. Postoperative patients have varying degrees of pain relief. Nineteen patients had complete pain relief (CR) and eight had partial response (PR) at 1 month. CONCLUSION: CT-guided vertebroplasty is simple, safe and effective in analgesia. It is of great value in improving patients’ quality of life.