Abstract：Objective To explore the clinical effect of percutaneous vertebroplasty combined with hypothermia plasma ablation in the treatment of thoracolumbar metastasis. Methods A total of 20 patients with malignant tumor thoracolumbar metastasis diagnosed by clinical imaging and pathology in Department of Orthopedics, Zhejiang Jinhua Guangfu Hospital from January 2010 to June 2015 were selected, and they were treated with percutaneous minimally invasive vertebroplasty combined with hypothermia plasma ablation under local anesthesia. The visual analogue scale (VAS) before and after operation was compared, and the results of CT and X-ray were observed. Results All 20 cases gained successfull operation, they could move around by wearing a waist belt after operation for 2 h. They were followed-up for 12-30 months, with an average of 18 months. Postoperative thoracic waist pain was significantly reduced. The VAS score was reduced from (6.9±0.9) points before operation to (1.6±0.8) points after operation (P ＜ 0.05). The quality of life was improved significantly. The reexamination of CT and X-ray showed that the bone cement was filled satisfactorily, with no leakage. Conclusion Percutaneous vertebroplasty combined with hypothermia plasma ablation is a micro-invasive, effective palliative operation method for the malignant tumor patients with osteolytic metastatic lesion confined to the vertebral body, which can relieve pain, improve the quality of life, and reduce the recurrence of local lesions.
冷燕奎 侯力强 曹智强 王强 王浩敏. 经皮椎体成形术联合低温等离子消融治疗胸腰椎转移瘤的临床研究[J]. 中国医药导报, 2018, 15(6): 71-74.
LENG Yankui HOU Liqiang CAO Zhiqiang WANG Qiang WANG Haomin. Clinical study of percutaneous vertebroplasty combined with hypothermia plasma ablation in the treatment of thoracolumbar metastasis. 中国医药导报, 2018, 15(6): 71-74.
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2018, Vol. 15 
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