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ID:15197610
大小:33.01 KB
页数:9页
时间:2018-08-01
《ct导引下椎体成形术在胸腰段椎体压缩性病变治疗中的临床应用》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、CT导引下椎体成形术在胸腰段椎体压缩性病变治疗中的临床应用作者:贺玉玺王小平索文华【摘要】目的:探讨椎体成形术在治疗胸11-腰3椎体压缩性病变的应用及临床治疗效果。方法:经DR、CT、MRI检查,结合临床表现、病史明确诊断18例椎体压缩性病变,共涉及20个椎体,应用椎体成形术治疗。在CT导引下注入骨水泥,术中行CT扫描观察骨水泥注入量及椎体膨胀情况,临床观察患者疗效及并发症情况。结果:CT导引下经皮穿刺椎体成形术操作成功,经临床1~18个月不定期随访,16例患者在术后1个月内疼痛症状完全缓解;1例患者在术后时有神经根刺激症状,用药后症状可以
2、改善,3个月复查症状完全缓解;1例患者手术前后症状未见明显变化;所有患者未出现严重并发症。术后1个月、3个月对病变行CT椎体扫描,18个椎体明显饱满扩大,骨水泥涵于椎体内;2个椎体外形轻度变化,骨水泥外溢于椎旁间隙。结论:CT定位导引下经皮穿刺椎体成形术,路径设计合理,穿刺成功率高,避免多次重复穿刺,所以创伤小、并发症少;有效地解除了由于椎体压缩性病变而引起的多种临床症状。【关键词】CT扫描;椎体成形术;椎体压缩;骨水泥 AbstractObject:Toevaluatetheclinicalapplicationas9wellasits
3、therapeuticeffectsofpercutaneousvertebroplasty(PVP)inthetreatmentofvertebralcompressiondamagebetweenthoracicvertebraeT11tolumbarvertebraeL3.Methods:ThroughfollowingexaminationsuchasCTscanning,DRandMRI,alongwithevaluationofclinicalsymptomsandmedicalhistory,18casesofvertebra
4、lcompressiondamagehavebeendiagnosedwithcertaintyandPVPoperationwasadoptedforthetreatmentofthe20vertebraeaffected.BonecementwasinjectedunderCTguidance.TheinjectionamountandthecorrespondingexpansioninthevertebralbodyinjectedwerealsocarefullymonitoredwithCTscanningduringPVPop
5、eration.Thetherapeuticeffectsaswellasanypossiblecomplicationwereevaluatedafterwards.Results:18CT-guidedPVPoperationswereallsuccessfullyperformed.Afterfollow-upvisittoallthepatientsduringatimeperiodrangingfrom1to18months,ithasbeenfoundthatasmanyas16patientsexhibitcompletere
6、liefofpainsymptomswithinasshortas1monthafteroperation;1patientexhibitsirritatingsymptomsrelatedtonerveroot,whichwasalleviateduponmedicineadministrationandcompletelyrelieved3monthslater.Only1patientexhibitsnosignificantimprovementinpainsymptomsafterPVP.Noclinicallysignifica
7、ntcomplicationwasfoundinallpatients.CTfollow-upevaluationofpreviously9damagedvertebralbodieswascarriedouttwiceatthetimepoint1monthand3monthafterPVP,respectively.Theresultsshowthat18vertebralbodieswereobviouslyenlargedandplumpinappearanceduetoaccumulationofbonecementinjecte
8、dwithinand2othervertebralbodieswereslightlydeformedwithbonecementleakingintoparavertebral
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