| 经颈前路行椎体成形术治疗枢椎血管瘤 |
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Received:November 22, 2012
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| 作者 | Author | 单位 | Unit | E-Mail |
| 顾仕荣 |
GU Shi-rong |
宁波市医疗中心李惠利医院骨二科, 浙江 宁波 315040 |
The Second Department of Orthopaedics, Lihuili Hospital of Ningbo Medical Center, Ningbo 315040, Zhejiang, China |
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| 张明 |
ZHANG Ming |
宁波市医疗中心李惠利医院骨二科, 浙江 宁波 315040 |
The Second Department of Orthopaedics, Lihuili Hospital of Ningbo Medical Center, Ningbo 315040, Zhejiang, China |
zmwxh@163.com |
| 陈斌辉 |
CHEN Bin-hui |
宁波市医疗中心李惠利医院骨二科, 浙江 宁波 315040 |
The Second Department of Orthopaedics, Lihuili Hospital of Ningbo Medical Center, Ningbo 315040, Zhejiang, China |
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| 桑裴铭 |
SANG Pei-ming |
宁波市医疗中心李惠利医院骨二科, 浙江 宁波 315040 |
The Second Department of Orthopaedics, Lihuili Hospital of Ningbo Medical Center, Ningbo 315040, Zhejiang, China |
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| 期刊信息：《中国骨伤》2013年26卷，第10期，第829-932页 |
| DOI：10.3969/j.issn.1003-0034.2013.10.009 |
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目的: 探讨经颈前路行椎体成形术治疗枢椎血管瘤的诊疗体会.
方法: 自2005年1月至2012年4月,采用经颈前路椎体成形术治疗枢椎血管瘤6例,均经MRI初步诊断,其中男2例,女4例;年龄35～67岁,平均49岁.术后6个月通过门诊或电话随访,并采用WHO标准对疼痛缓解程度进行评定.
结果: 6例患者术中穿刺证实均为血管瘤.手术时间平均58 min,平均骨水泥注射量2.6 ml.术后X线片或CT提示骨水泥填充病灶充盈满意,6例均获随访,时间6～48个月,平均28个月.术后6个月采用WHO标准评定疗效:部分缓解2例,完全缓解4例,末次随访评定结果保持稳定.
结论: 经颈前路行椎体成形术治疗枢椎血管瘤是一种安全、有效的手术方式,手术成功的关键在于病灶准确的穿刺定位,对骨水泥的注射时机、方式及量的把握. |
| [关键词]:枢椎 血管瘤 椎体成形术 |
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| Treatment of atlantoaxial hemangioma with vertebroplasty through anterior approach |
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Abstract:
Objective: To investigate the diagnostic and therapeutic experience for the atlantoaxial hemangioma with vertebral plasty through anterior approach.
Methods: From January 2005 to April 2012,6 cases were initially diagnosed as atlantoaxial hemangioma under MRI,and treated with vertebroplasty through anterior approach. There were 2 males and 4 females ranging in age from 35 to 67 years old with an average of 49 years old. Six patients were followed up by out-patient clinic or telephone after operation for 6 months,and WHO standard clinical effects were used to assesse pain degree.
Results: All the hemangioma were confirmed by puncture. The mean operative time and injection amount of bone cement were 58 min and 2.6 ml,repectively. Postoperative X-ray or CT scan showed that the bone cement filled focus satisfactorily. All patients were followed up from 6 to 48 months with average of 28 months. According to the pain degree of WHO standard,2 cases got partly relief and 4 got completely relief and up to final follow-up,the results were still stable.
Conclusion: Treatment of atlantoaxial hemangioma with vertebroplasty through anterior approach is a safe and effective method. And correct puncture, adequate injection time and volume of bone cement are keys to successful. |
| KEYWORDS:Axis Hemangioma Vertebroplasty |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 顾仕荣,张明,陈斌辉,桑裴铭.经颈前路行椎体成形术治疗枢椎血管瘤[J].中国骨伤,2013,26(10):829~932 |
| 英文格式: | GU Shi-rong,ZHANG Ming,CHEN Bin-hui,SANG Pei-ming.Treatment of atlantoaxial hemangioma with vertebroplasty through anterior approach[J].zhongguo gu shang / China J Orthop Trauma ,2013,26(10):829~932 |
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