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经皮丙烯酸椎体成形术治疗椎体血管瘤的初步报告

[Preliminary note on the treatment of vertebral angioma by percutaneous acrylic vertebroplasty].

作者信息

Galibert P, Deramond H, Rosat P, Le Gars D

出版信息

Neurochirurgie. 1987;33(2):166-8.

PMID:3600949
Abstract

Findings in several cases are used to demonstrate that certain vertebral angiomas may not be congenital and can ultimately provoke medullary or radicular neurologic complications. Radiotherapy is the usual treatment but is not always accepted unconditionally close to spinal cord. Destruction of angioma and consolidation of vertebral column can be obtained by percutaneous intrasomatic injection of acrylic cement. The preoperative radiologic examination includes direct phlebography with insertion of trocar, the vertebroplasty being performed under television screen surveillance. Results in seven patients treated are very encouraging but the current 2-year follow up requires extension. However, the method appears to be able to be included amongst treatment for an affection of sometimes seriously questioned benign nature.

摘要

通过几个病例的研究结果来证明,某些椎体血管瘤可能并非先天性的,最终可能引发脊髓或神经根神经并发症。放射治疗是常用的治疗方法,但在脊髓附近并非总是能被无条件接受。经皮椎体注射丙烯酸骨水泥可实现血管瘤的破坏和脊柱的加固。术前放射学检查包括通过插入套管针进行直接静脉造影,椎体成形术在电视屏幕监测下进行。7例接受治疗患者的结果非常令人鼓舞,但目前2年的随访需要延长。然而,该方法似乎能够纳入对这种有时性质存疑的良性疾病的治疗方法之中。

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