Department of Anesthesiology and Pain Medicine.
Department of Neurosurgery, School of Medicine Catholic University of Daegu, Daegu, Republic of Korea.
Medicine (Baltimore). 2021 Apr 16;100(15):e25521. doi: 10.1097/MD.0000000000025521.
Percutaneous cementoplasty is a minimally invasive procedure that can provide immediate pain relief and improve range of motion in patients with metastatic bone pain. Conventionally, this procedure is guided by computed tomography (CT). However, to minimize exposure to radiation, we performed percutaneous cementoplasty under the guidance of a navigation system.
A 60-year-old man presented with left hip pain for several months due to bone metastasis in the left ilium.
The patient was diagnosed with lung cancer and multiple bone metastases including ileum.
The puncture needle was placed under the guidance of a navigation system with pre-procedure CT images, and bone cement was injected into the osteolytic lesion in the left ilium.
Bone cement placement was confirmed by post-procedure radiography, and its distribution was satisfactory. The patient's Karnofsky Performance Scale and Brief Pain Inventory scores showed improvement in pain and mobility without complications.
Percutaneous cementoplasty guided by a navigation system is a safer and more effective method with less radiation compared with conventional CT-guided methods.
经皮骨水泥成形术是一种微创介入治疗方法，可为转移性骨痛患者提供即时止痛和改善活动范围。传统上，该手术由计算机断层扫描（CT）引导。然而，为了尽量减少辐射暴露，我们在导航系统的引导下进行了经皮骨水泥成形术。
一名 60 岁男性因左侧髂骨骨转移而出现左侧髋部疼痛数月。
患者被诊断为肺癌和包括左髂骨在内的多处骨转移。
穿刺针在术前 CT 图像引导下的导航系统下放置，并将骨水泥注入左髂骨的溶骨性病变部位。
术后 X 线片证实骨水泥位置满意，分布良好。患者的 Karnofsky 表现量表和简明疼痛量表评分显示疼痛和活动度改善，无并发症。
与传统 CT 引导方法相比，导航系统引导的经皮骨水泥成形术具有更低的辐射暴露，是一种更安全、更有效的方法。
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