一个修改的C2/C3转移的曲针技术的前侧横盘穿穿皮脊椎造形术
Yu He1, Chenghang Xu2, Chungen Wu3
1Department of Interventional Radiology, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
European radiology
|August 8, 2025
概括
使用曲针技术的修改透皮脊椎造形术 (PVP) 为C2或C3脊椎转移提供了安全有效的解决方案. 这种微创手术可显著缓解疼痛,稳定椎脊柱.
科学领域:
- 脊柱瘤学 脊柱瘤学
- 最少侵入性手术是最少侵入性的手术.
- 干预性放射学是干预性的放射学.
背景情况:
- 对于C2或C3脊椎转移而进行皮肤椎造形术 (PVP) 面临技术挑战和不良事件的风险.
- 现有的治疗方法可能受到复杂的解剖学和靠近椎高部关键结构的限制.
研究的目的:
- 评估修改后的前侧侧跨盘方法的疗效和安全性,使用曲针技术对C2或C3转移患者的PVP进行评估.
- 评估与这种新技术相关的疼痛减轻,椎脊柱稳定性和手术并发症.
主要方法:
- 一项回顾性研究包括54名C2或C3脊椎转移的患者,这些患者接受了修改PVP技术的治疗.
- 在双平面数字减去血管学 (DSA) 指导下,在局部麻醉下进行了手术.
- 结果包括疼痛评分 (VAS),椎脊柱不稳定 (SINS),水泥泄漏,以及止痛药/椎项圈的使用.
主要成果:
- 修改后的PVP在54名患者 (62个脊椎接受治疗) 中实现了100%的程序成功.
- 观察到视觉模拟尺度 (VAS) 疼痛评分和脊柱不稳定性新形成评分 (SINS) 的显著改善 (p < 0.05).
- 在43.5%的病例中发生了水泥泄漏,但无症状;止痛药和项圈的使用显著下降.
结论:
- 用曲针技术修改的前侧侧跨盘方法是C2或C3脊椎转移的安全和有效治疗方法.
- 这种最少的侵入性技术克服了技术障碍,为不适合手术的患者提供了即时的疼痛控制和脊柱稳定性.
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