PKP或PVP治疗椎体转移肿瘤的临床疗效分析.pdfVIP

• 1276. 齐齐哈尔医学院学报2016 年第37 卷第 10 期 Journal of OiQihar Universitv of Medicine .2016.Vol. 37 .No. 10 .经验交流. PKP 或 PVP 治疗椎体转移肿瘤的临床疗效分析 叶学年朱文雄江铭梁培华苏艳飞郭建恩 [摘要} 目的研究PKP 或 PVP 术式在椎体转移肿瘤中的临床治疗效果。方法 在我院收治的椎 体转移肿瘤患者中选出90 倒作为本次研究的对象，其中69 倒患者行PVP 术式，21 倒患者行PKP 术式，观 察治疗效果。结果所有患者术后3d 的 VAS 评分明显低于术前，且术后3 个月 ADL 评分高于术前， P 0.05;PKP 术式组术后1 个月的椎体前缘高度、中间高度、后缘高度均高于术前， P 0. 05;PVP 组的这三项 指标术前与术后 1 个月对比差异不明显， P 0. 05; 在生存情况上，Tomila 评分5 -7 分组患者优于 8 -10 分组患者，P0.05。结论 PVP 或 PKP 术式在椎体转移肿瘤的治疗中效果显著。临床上应根据患者的 具体情况合理使用手术方法。 【关键词] PVP; 椎体转移肿瘤; Tomila 评分; ADL; VAS Clinical efficacy anaIysis of PKP /PVP in treatment of vertebral metastases Ye Xu.eni棚， et al. Departn四nt 01 Orthoped.町， Dongguan Peoples Hosp归:1 ， Do咱F皿n 523126 , China [ Abstract ] 0均创刊 To study the clinical effect of PKP or PVP in the treatment of vertebral metastasis. Methods 90 明白 selected as 耻。均ect of this study in patients wi出 vertebral me国阳es in 0町 hospi时， 69 patients underwent surgical PVP and 21 patients underwent PKP surgical , and the effect of treatment 胃部 ob蛇时. Results 3d VAS score significantly lower than the preoperative and postoperative ADL scores higher 由皿由e p陀opemtive and postoperative 3 months , P O. 05; PKP holds the operation 伊。up of postopemtive 1 mon由 fanterior flange height , middle height , traili吨 edge height were higher 出扭曲at of preoperative , P O. 05; PVP set the three indicators of preoperative and postoperative 1 month no obvious difference , P O. 05; In survival , Tomila score of 5 - 7 group wωbetter than 8 - 10 group , P O. 05. Conclusi。因 PVP or PKP is effective in the treatment of vertebral metastasis tumor. We should re.ωonably use 由e operation method according to 出e specific condition of the patient. [Key words] PVP; Vertebral metastasis tumor; Tomita Score; ADL; VAS 椎体转移肿瘤会导致椎体的剧烈疼痛，甚至导致瘫痪，虽