Hu Hongtao, Xu Lei, Guo Xiang, Teng Haijun, Liu Wenhua
Department of Orthopedic Surgery, The Affiliated Hospital of Weifang Medical College, Weifang 261000, Shandong, China.
Open Med (Wars). 2023 Jul 25;18(1):20230753. doi: 10.1515/med-2023-0753. eCollection 2023.
Metastatic diseases of the spine are becoming increasingly common with an aging population and improvements in systemic cancer therapies. Microwave and vertebroplasty are the mainstay modalities for treating painful spine metastases. Most early spinal metastases predominantly attack the adnexa, but there are few reports on its treatment. This report presents a case of a 56-year-old female who had experienced severe thoracic back pain for several days and was diagnosed with a metastatic tumor of the right transverse process of T7. Percutaneous microwave ablation in combination with bone cement injection was used to treat the metastatic tumor under CT guidance. The postoperative pain on the Visual Analogue Scale was 1/10, without nerve or vessel damage and bone cement leakage during the operation.
随着人口老龄化和全身癌症治疗方法的改进，脊柱转移性疾病越来越常见。微波和椎体成形术是治疗疼痛性脊柱转移瘤的主要方式。大多数早期脊柱转移瘤主要侵犯附件，但关于其治疗的报道较少。本报告介绍了一例56岁女性患者，她经历了数天的严重胸背部疼痛，被诊断为T7右侧横突转移性肿瘤。在CT引导下，采用经皮微波消融联合骨水泥注射治疗该转移性肿瘤。术后视觉模拟评分的疼痛为1/10，术中无神经或血管损伤及骨水泥渗漏。
