经皮椎体成形术治疗症状性椎体血管瘤

Percutaneous vertebroplasty for symptomatic vertebral hemangiomas

关键词:  经皮穿刺  椎体成形术  椎体血管瘤

Key words:  pass cover puncture  percutaneous vertebroplasty  vertebral hemangiomas

摘要:

［目的］ 探讨经皮椎体成形术（PVP）治疗症状性椎体血管瘤的临床效果。［方法］ 采用经皮椎体成形术（PVP）治疗症状性椎体血管瘤16例，共20个椎体，术后进行1年以上的临床和影像学随访。［结果］ 技术操作成功率为100%，无严重并发症发生。术后随访12～24个月，疼痛完全缓解14例，部分缓解2例，未出现新的椎体压缩性骨折，血管瘤无复发。［结论］ PVP可以缓解症状性椎体血管瘤引起的疼痛，防止复发，增加椎体的稳定性，预防压缩性骨折，是治疗症状性椎体血管瘤的理想方法。

Abstract:

［Objective］To investigate the clinical value of percutaneous vertebroplasty (PVP) for symptomatic vertebral hemangiomas. ［Methods］ Adopt PVP and treat symptomatic vertebral hemangiomas 16 cases with 20 vertebras, which were followed up for 12～36 months. ［Results］ The operations were successful in every case. No severe complications were observed. All cases were given aperiod of 12～24 months for follow up. Clinical symptoms were completely relieved in 14 and partial relieved in 2 cases. There was no new vertebral collapse and recurrence of hemangiomas. ［Conclusion］ Percutaneous vertebroplasty (PVP) can relieve the pain, prevent the collapse, increase the vertebral stabilization and prevent the vertebral compression fracture in vertebral hemangiomas. PVP is a ideal method for treating vertebral hemangiomas.