Gibson Jill E, Pilgram Thomas K, Gilula Louis A
Department of Internal Medicine, Barnes-Jewish Hospital, St. Louis, MO, USA.
AJR Am J Roentgenol. 2006 Oct;187(4):869-72. doi: 10.2214/AJR.05.0084.
The purpose of this study was to determine the prevalence of nonmidline symptoms in patients undergoing percutaneous vertebroplasty and the response of these symptoms to vertebroplasty.
This is a retrospective study performed through examination of patient records, baseline questionnaires, demographic sheets, follow-up questionnaires, reports from telephone follow-up, and pain location diagrams completed before and after percutaneous vertebroplasty. Data were gathered from 350 patient encounters, 686 vertebroplasty procedures, and 288 patients. After determining the prevalence of nonmidline pain, analysis of acquired data was performed to determine the efficacy of vertebroplasty in relieving nonmidline pain.
Nonmidline pain was present in 240 of 350 patient encounters. Major symptom areas were the ribs; hip, groin, and buttocks; and legs and thighs. Lesser areas of nonmidline symptoms were the abdomen, shoulders, and waistline. Overall there was improvement in nonmidline pain in 83% of the procedures.
Most patients presenting for percutaneous vertebroplasty have nonmidline pain. Vertebroplasty reduced or eliminated nonmidline pain in 76-92% of the patients in whom it was reported. Procedures involving lumbar vertebrae tended to be successful less often than others, but even in these patients the procedure was successful in approximately 75%.
本研究旨在确定接受经皮椎体成形术的患者中非中线症状的发生率以及这些症状对椎体成形术的反应。
这是一项回顾性研究，通过检查患者记录、基线问卷、人口统计学表格、随访问卷、电话随访报告以及经皮椎体成形术前后完成的疼痛部位图进行。数据收集自350次患者会诊、686例椎体成形术以及288例患者。在确定非中线疼痛的发生率后，对收集到的数据进行分析，以确定椎体成形术缓解非中线疼痛的疗效。
350次患者会诊中有240次存在非中线疼痛。主要症状部位为肋骨；髋部、腹股沟和臀部；以及腿部和大腿。非中线症状较少的部位为腹部、肩部和腰线。总体而言，83%的手术中非中线疼痛有所改善。
大多数接受经皮椎体成形术的患者存在非中线疼痛。在报告有非中线疼痛的患者中，椎体成形术使76%至92%的患者的非中线疼痛减轻或消除。涉及腰椎的手术成功率往往低于其他手术，但即使在这些患者中，手术成功率也约为75%。
