颈椎肿瘤的PVP临床应用

前外侧入路经皮椎体成形术治疗中下段颈椎肿瘤的临床应用

发表在《介入放射学杂志》,2009,18(2)：104-107

吴春根，Dieter E.Apitzsch，程永德，顾一峰，张继 王涛，周兵，李明华

作者单位：200233 上海交通大学附属第六人民医院放射科（吴春根，程永德，顾一峰，张继 王涛，李明华）；德国Marl 市Paracelsus医院放射科（Dieter E.Apitzsch）

通讯作者：吴春根

[摘要] 目的 研究前外侧入路经皮椎体成形术治疗中下段颈椎肿瘤的方法的可行性及临床疗效 方法 2004～2008年共治疗了16例中下段颈椎肿瘤的病人，转移瘤12例，骨髓瘤3例，嗜酸性肉芽肿1例。穿刺入路采用前外侧穿刺法，所有患者均在透视引导下完成穿刺和骨水泥注射。术后随访患者3个月。 结果 共穿刺和注射21个C4-C7段椎体，穿刺和骨水泥注射技术成功率100%。16个病人疼痛都得到了明显缓解，术前VAS评分平均7分，术后降低到平均1.7分 ，颈椎运动功能优良。结论 前外侧入路经皮椎体成形术是安全、有效的治疗中下段颈椎肿瘤微创方法。

[关键词] 放射学，介入性；经皮椎体成形术；颈椎

The clinical application of percutaneous vertebroplasty through anterolateral approach in treatment of middle or inferior cervical spine tumor. WU Chun-gen , Dieter E.Apitzsch , CHENG Yong-de, Gu Yi-feng , ZHANG JI , WANG Tao ，ZHOU Bing, LI Ming-hua. Department of Radiology, Shanghai Sixth People's Hospital , Shanghai Jiao Tong University, Shanghai 200233, China.

[Abstract] Objective Feasibility study and evaluation of curative effect for middle or inferior cervical tumor with percutaneous vertebroplasty via anterolateral approach. Methods 16 patients with middle or inferior cervical tumor were undergonge percutaneous vertebroplasty of anterolateral approach in 4 years. There were 12 patients with metastatic neoplasm, 3 patients with myeloma and 1 patient with eosinophilic granuloma. Bone cement were injected into cervical bodies via the anterolateral approach under fluoroscopic guidance. Postverterbroplasty follow-up were achieved in three months. Results Total 21 cervical bodies in the range of C4 to C7 were successfully punctured and injected with bone cement. Marked pain relief was achieved in all 16 patients. The average score of visual analogue scale(VAS) was dramaticlly decreased from 7 to 1.7. The function of cervical movement all recovered in good condition.. Conclusion Percutaneous vertebroplasty through anterolateral approach is a minimally invasive ,safe and effective method in treatment of middle or inferior cervical tumor.

[Key words] Rdiology,interventional; Pecutaneous vertebroplasty; Cervical spine