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目的探讨X线透视机引导下经皮椎体成形术(PVP)治疗胸、腰椎椎体转移瘤的疗效。方法在X线透视机引导下,对81例胸、腰椎椎体转移瘤患者的101个椎体实施PVP,对比观察实施PVP前、后患者生活质量、骨痛评分、脊柱稳定性的改变以及并发症。结果 PVP治疗前、后生活质量及骨痛评分差异均有统计学意义(P<0.05)。PVP治疗后脊柱稳定。术后6例9椎发生骨水泥渗漏,但未出现临床症状。无骨水泥毒副反应、肺栓塞、感染和神经损伤等并发症的发生。结论 X线透视机引导下PVP是一种治疗胸、腰椎椎体转移瘤较为有效的方法。
Objective To investigate the effect of percutaneous vertebroplasty (PVP) guided by X-ray machine in the treatment of thoracic and lumbar vertebral metastases. Methods Under the guidance of X-ray machine, 81 patients with thoracic and lumbar vertebral metastases underwent PVP. The quality of life, the pain score, the stability of the spine and the changes of the stability of the spine before and after PVP were compared disease. Results Before and after PVP treatment, the differences of quality of life and bone pain scores were statistically significant (P <0.05). Spinal stabilization after PVP treatment. Postoperative 6 cases of 9 vertebral bone cement leakage, but no clinical symptoms. No bone cement toxicity, pulmonary embolism, infection and nerve injury and other complications. Conclusion X-ray machine under the guidance of PVP is a thoracic and lumbar vertebral metastases more effective method.