CT引导下骨水泥灌注治疗髂骨转移瘤

发布时间：2018-03-31 06:25

  本文选题：髂骨　切入点：聚甲基丙烯酸类　出处：《中国组织工程研究》2017年27期

【摘要】：背景:髂骨是骨转移瘤较常见发病部位,易穿破皮质并形成软组织肿块。髂骨形态不规则,周围结构复杂,在行骨水泥灌注时存在穿刺困难和骨水泥弥散情况难以判定等问题。目的:比较CT引导和DSA引导下穿刺并行骨水泥灌注治疗髂骨转移瘤的临床疗效。方法:64例患者行髂骨骨水泥灌注治疗,按治疗方案分为2组,对照组32例应用DSA监视下穿刺灌注骨水泥,实验组32例应用CT引导穿刺,术后行CT扫描观察骨水泥弥散情况。统计并比较分析2组患者一次性穿刺成功率、骨水泥的渗漏率、疼痛目测类比评分、Oswestry功能障碍指数。结果与结论:①2组患者均顺利完成穿刺并骨水泥灌注,DSA引导组骨水泥外溢2例,CT引导组骨水泥外溢1例;②2组患者治疗后的疼痛目测类比评分、Oswestry功能障碍指数均较治疗前改善(P0.05),2组组间比较差异无显著性意义(P0.05);③2种方法缓解疼痛和恢复活动的效果无差异;④结果表明,在注意骨水泥灌注时机后,CT引导下治疗髂骨转移瘤可取得满意的效果。
[Abstract]:Background: iliac bone is a common site of bone metastases. It is easy to break through the cortex and form soft tissue masses. The iliac bone is irregular in shape and complex in surrounding structure. Objective: to compare the clinical effect of CT-guided and DSA guided puncture combined with bone cement perfusion in treating iliac bone metastases. The patients were treated with iliac bone cement infusion. According to the treatment plan, 32 cases in the control group were treated with DSA, 32 cases in the experimental group were treated with CT guided puncture, and 32 cases in the experimental group were treated with CT guided puncture. After operation, CT scanning was performed to observe the dispersion of bone cement, the success rate of single puncture and the leakage rate of bone cement were statistically analyzed and compared between the two groups. Results and conclusion all 12 groups of patients successfully completed puncture and bone cement perfusion with DSA guided group 2 cases of bone cement overflow in CT guided group 1 case of bone cement overflow 1 case of bone cement overflow 1 case of 22 patients after treatment. There was no significant difference in visual analogue score and Oswestry dysfunction index between the two groups. The results showed that there was no significant difference in pain relief and activity recovery between the two groups. The treatment of iliac bone metastases under the guidance of CT after paying attention to the time of bone cement perfusion can achieve satisfactory results.
【作者单位】： 威海卫人民医院影像科;成武县人民医院胸外科;济南军区总医院医学影像科;
【基金】：国家高技术研究发展计划(863计划)资助(2013AA032203) 国家自然科学基金资助(81671799)~~
【分类号】：R730.44;R738
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本文编号：1689541