论文部分内容阅读
目的探讨脊椎血管瘤的临床特点及治疗方法。方法经临床、影像学及病理检查确诊的9例脊椎血管瘤患者,其中6例无截瘫患者行“经皮椎体成形术”治疗,3例合并不完全性截瘫患者行“前路病变椎体切除减压、植骨、内固定术”治疗。结果随访1～4.5年,患者疼痛等症状基本消失,不完全性截瘫基本恢复至正常,肿瘤未见复发。结论“经皮椎体成形术”治疗无截瘫的脊椎血管瘤能凝滞病变、固化椎体、解除症状,是一种安全有效的微创治疗方法;“前路病变椎体切除减压、植骨、内固定术”治疗合并不完全性截瘫的脊椎血管瘤,病灶清除较彻底,减压充分,截瘫恢复快,疗效良好,但出血较多,有一定手术风险。
Objective To investigate the clinical features and treatment of vertebral hemangiomas. Methods Nine patients with spondylitic hemangiomas diagnosed by clinical, radiological and pathological examinations were treated with percutaneous vertebroplasty in 6 patients without paraplegia and 3 patients with incomplete paraplegia Lesions vertebral resection decompression, bone graft, internal fixation “treatment. Results The follow-up of 1 to 4.5 years, the patient’s symptoms such as pain disappeared, incomplete paraplegia basically returned to normal, no recurrence of the tumor. Conclusion Percutaneous vertebroplasty is a safe and effective minimally invasive treatment for vertebral hemangiomas without paraplegia that can coagulate lesions, cure vertebral bodies and relieve symptoms. , Bone graft, internal fixation ”treatment of incomplete paraplegia spondylolysoma, more complete removal of the lesion, full decompression, rapid paraplegia recovery, good effect, but more bleeding, there are some surgical risks.