查詢結果分析
相關文獻
- Minimal Invasive Treatment: Percutaneous Vertebroplasty for Metastatic Spinal Tumors
- MR Imaging Findings of Cervical Chordoma: Case Report
- 脊髓空洞症
- 一位脊椎腫瘤個案放置導尿管之居家護理經驗
- Spinal Metastasis with Spinal Canal Compression Treated by Surgically Controlled Vertebroplasty
- 轉移性脊椎腫瘤的姑息性治療策略
- Primary Intradural Hemangiopericytoma With Intramedullary Invasion
- 電腦刀立體定位放射手術應用於脊椎腫瘤之治療
- Postoperative Pulmonary Edema after Lower Thoracic Spinal Tumor Surgery--A Case Report
- 腰酸背痛的隱憂--談脊椎轉移性腫瘤
頁籤選單縮合
題 名 | Minimal Invasive Treatment: Percutaneous Vertebroplasty for Metastatic Spinal Tumors=微創手術:經皮穿刺骨水泥注射術在轉移性脊椎腫瘤的臨床成效 |
---|---|
作 者 | 洪偉翔; 牛自健; 賴伯亮; 傅再生; 蔡宗廷; 黃澤波; 游家偉; 陳力輝; 陳文哲; | 書刊名 | Journal of Orthopaedic Surgery Taiwan |
卷 期 | 27:1 2010.03[民99.03] |
頁 次 | 頁21-27 |
分類號 | 416.61 |
關鍵詞 | 骨水泥注射術; 脊椎腫瘤; Vertebroplasty; Metastasis; Spine; Bone cement; |
語 文 | 英文(English) |
英文摘要 | Purpose: Percutaneous vertebroplasty (PVP) has been used to treat patients with painful osteoporotic spinal compression fractures and benign spinal tumors such as hemangiomas. Patients with metastatic spinal tumor lesions may suffer from severe back pain due to destructive vertebral lesions associated with instability. We evaluated the clinical outcome of injecting polymethylmethacrylate (PMMA) into the vertebral body with metastatic tumor lesions. Materials and methods: Nineteen patients with metastatic spinal tumors received PVP over a total of 25 vertebrae for pain control. The follow-up periods were from September 2003 to August 2008 and ranged from 1 to 48 months. Pain levels were assessed using the visual analog scale (VAS) before the operation, on postoperative day 3, and at 1 and 6 months during follow-up. Patients self-recorded functional disability values were obtained using the Oswestry Disability Index (ODI). Results: Sixteen patients (84%) had moderate to marked improvement in pain on postoperative day 3. The mean VAS pain score decreased from 7.8 to 3.5 on postoperative day 3 and to 4.2 at 6 months postoperatively. The mean ODI score improved from 79 preoperatively to 53 at postoperative month 1. Seven patients (36.8%) with cement leakage had no further clinical symptoms. The majority of patients (73.7%) survived for more than 6 months after treatment. There were no postoperative neurological deficits or procedure-related complications. Conclusion: PVP is a palliative and safe surgery option that provides moderate to marked pain relief and reduces disability in patients with symptomatic metastatic spinal tumors. |
本系統中英文摘要資訊取自各篇刊載內容。