单纯骨水泥椎体成形治疗椎症状性血管瘤单纯骨水泥椎体成形治疗胸椎症状性血管瘤.doc

单纯骨水泥椎体成形治疗胸椎症状性血管瘤★　 晏雄伟，张洪燕(襄阳市中心医院，湖北省襄阳市 441021) 文章亮点： 1 考虑到椎体血管瘤的良性生物学行为，作者认为对症状性椎体血管瘤治疗的目的主要为解除症状，而不是完全切除或栓塞肿瘤，与此同时，注射骨水泥加固椎体，防止可能出现的椎体压缩骨折。 2 采用经皮穿刺单纯骨水泥椎体成形治疗胸椎症状性椎体血管瘤患者9例，病灶椎体疼痛症状明显缓解、病灶椎体稳定性加强，并进一步防止了栓塞血管性病变的发展。 关键词： 骨关节植入物；脊柱植入物；脊椎穿刺；血管瘤；脊柱；椎体成形术；骨水泥；椎体稳定性 主题词： 胸椎；血管瘤；椎体成形术；脊椎穿刺 摘要 背景：自从经皮穿刺注射骨水泥椎体成形技术成功用于脊柱骨折的治疗后，一直在尝试用于椎体血管瘤的治疗。 目的：评价经皮穿刺单纯骨水泥椎体成形治疗症状性椎体血管瘤的安全性和有效性。 方法：9例胸椎症状性椎体血管瘤患者，男2例，女7例，均有背部疼痛等症状，其中2例有神经根刺激症状。采用经皮穿刺单纯骨水泥椎体成形治疗，治疗后进行临床和影像学随访。 结果与结论：操作成功率100%，均未出现肺栓塞、神经损伤等并发症，治疗后影像学检查示均无椎管内或椎间孔渗漏。治疗后24 h症状均有缓解，9例均获得随访，随访时间3-36个月，显示原有症状体征消失或基本消失，血管瘤无复发。结果可见经皮穿刺注射骨水泥椎体成形治疗症状性椎体血管瘤安全有效，它不仅可以缓解症状，还可以增加椎体的稳定性，预防压缩性骨折、防止复发。 Bone cement vertebroplasty for symptomatic thoracic vertebral hemangioma Yan Xiong-wei, Zhang Hong-yan (Xiangyang Central Hospital, Xiangyang 441021, Hubei Province, China) Abstract BACKGROUND: Since percutaneous injection of bone cement vertebroplasty has been successfully used in treatment of spine fracture, percutaneous vertebroplasty is trying to be utilized in the treatment of vertebral hemangiomas. OBJECTIVE: To evaluate the safety and effectiveness of percutaneous injection of bone cement vertebroplasty in the treatment of symptomatic vertebral hemangiomas. METHODS: Totally nine patients with symptomatic thoracic vertebral hemangioma patients, including two males and seven females, had back pain. Of them, two cases suffered from nerve root irritation. Percutaneous vertebroplasty with bone cement was used alone. Postoperative clinical and radiographic follow-up was conducted. RESULTS AND CONCLUSION: The success rate was 100%, and no pulmonary embolism or nerve injury appeared. Postoperative imaging showed no leakage of spinal canal or foramen. At 24 hours after treatment, the symptoms had eased; nine cases were followed up for 3 to 36 months, showing that the original symptoms and signs disappeared or almost disappeared, no recurrence of vascular tumors. Results indicated that the percutaneous injection of bone