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目的:观察经皮椎体成形术治疗胸腰椎椎体转移癌的效果。方法:对25例胸腰椎椎体转移癌患者的37个椎体在C型臂X线透视下经皮椎体穿刺并注入骨水泥成形,术后按疼痛缓解程度6级评定法及简明健康状况调查表(SF-36)对治疗后患者生活质量进行评估。结果:所有患者术后均未发生感染、脊髓压迫和肺栓塞等并发症。24例患者术后2～72h内疼痛得到不同程度缓解,1例多发脊柱严重破坏者术后疼痛无缓解,术后1周疼痛缓解优良率为72.0%。术后随访3～27个月,平均7个月,根据SF-36评分,患者总体生活质量评分由术前的平均232分提高到末次随访时的平均349分。结论:经皮椎体成形术治疗胸腰椎椎体转移癌安全可行,具有良好的止痛效果,能够有效改善患者的生活质量。
Objective: To observe the effect of percutaneous vertebroplasty in the treatment of thoracolumbar vertebral metastases. Methods: Thirty-seven vertebral bodies from 25 patients with thoracolumbar vertebral metastases were percutaneous vertebroplasty with C-arm fluoroscopy and injected into the bone cement. According to the 6-level assessment of pain relief and concise health status Questionnaire (SF-36) Assess the quality of life of patients after treatment. Results: No postoperative complications such as infection, spinal cord compression and pulmonary embolism occurred in all patients. Twenty-four patients recovered to varying degrees within 2 to 72 hours after operation. One patient with severe spondylolisthesis did not relieve postoperative pain and the pain relief rate was 72.0% at 1 week after operation. The patients were followed up for 3 to 27 months with an average of 7 months. According to the SF-36 score, the overall quality of life score improved from an average of 232 before surgery to an average of 349 during the last follow-up. Conclusion: Percutaneous vertebroplasty for the treatment of thoracolumbar vertebral metastases is safe and feasible, has a good analgesic effect, and can effectively improve the quality of life of patients.