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目的观察经皮椎体成形术(PVP)、PVP和血管内栓塞化疗术综合治疗椎体转移肿瘤的疗效。方法16例患者(男性10例,女性6例)共22个椎体.均表现为胸腰部疼痛。9例患者共14个椎体单独行PVP治疗,7例8个椎体先后行PVP和(或)血管内栓塞化疗术。结果16例患者经PVP和血管内栓塞化疗后症状完全缓解者11例(68.8%),部分缓解5例(31.2%),再经血管内栓塞化疗疼痛减轻,所有患者无严重并发症发生。结论椎体恶性肿瘤经PVP和(或)血管内栓塞综合治疗可获得很好的近期疗效,明显提高患者的生存质量。
Objective To observe the curative effect of percutaneous vertebroplasty (PVP), PVP and endovascular embolization in the treatment of vertebral metastases. Methods A total of 22 vertebral bodies in 16 patients (10 males and 6 females) showed thoracolumbar pain. A total of 14 vertebral bodies in 9 patients underwent PVP alone. Seven of 8 vertebrae received PVP and / or endovascular embolization. Results In 16 patients, 11 cases (68.8%) were relieved of symptoms, 5 cases (31.2%) partially relieved of symptoms after chemotherapy by PVP and endovascular embolization. The pain was relieved by endovascular embolization chemotherapy, and no serious complication occurred in all patients. Conclusions The treatment of vertebral malignant tumor with PVP and / or endovascular embolization can achieve a good short-term curative effect and significantly improve the quality of life of patients.