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椎体强化手术在多发性骨髓瘤治疗中的作用

The Role of Vertebral Augmentation Procedures in the Management of Multiple Myeloma.

作者信息

Thalambedu Nishanth, Kamran Mudassar, Al-Hadidi Samer

机构信息

Hematology and Oncology University of Arkansas for Medical Sciences.

Interventional Radiology University of Arkansas for Medical Sciences.

出版信息

Clin Hematol Int. 2024 Feb 20;6(1):51-58. doi: 10.46989/001c.92984. eCollection 2024.

Abstract

Approximately 90% of patients with multiple myeloma experience significant pain from osseous involvement during their lifetime. Untreated osseous involvement results in vertebral compression fractures, leading to negative consequences for quality of life. Vertebral augmentation procedures, including percutaneous vertebroplasty and kyphoplasty, offer better and faster pain control and likely lower morbidity compared with non-operative interventions. Our review provides an up-to-date summary of the indications, contraindications, timing, outcomes, and potential complications of vertebral augmentation procedures to guide practicing oncologists in effectively managing bone disease in patients with multiple myeloma.

摘要

约90%的多发性骨髓瘤患者在其一生中会因骨受累而经历严重疼痛。未经治疗的骨受累会导致椎体压缩性骨折,对生活质量产生负面影响。椎体强化手术,包括经皮椎体成形术和后凸成形术,与非手术干预相比,能提供更好、更快的疼痛控制,且可能降低发病率。我们的综述提供了椎体强化手术的适应症、禁忌症、时机、结果和潜在并发症的最新总结,以指导执业肿瘤学家有效管理多发性骨髓瘤患者的骨病。

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