摘要
目的探讨儿童脊柱嗜酸性肉芽肿介入干预的临床价值。方法回顾性分析3例经皮椎体穿刺活检病理证实的儿童脊柱嗜酸性肉芽肿患者,共5个病变椎体,采用微创介入方法,包括经皮椎体穿刺活检术、经皮椎体成形术(PVP)及椎间盘融合术进行诊治。比较术前及术后疼痛视觉模拟评分(VAS)及Oswesty功能障碍指数(ODI)评分的情况。结果上述3例患者,4次手术均获得成功,少量骨水泥外渗,但无严重的临床并发症。术后随访3个月至5年,VAS由术前平均7分,降低到术后平均1分,ODI指数由术前平均52.5%,降到术后平均10.5%,日常生活运动功能恢复显著。结论采用介入放射学技术干预儿童脊柱嗜酸性肉芽肿是一种微创、安全、有效的诊断及治疗方法。
Objective To assess the clinical value of interventional managements in treating spine eosinophilic granuloma in children.Methods Interventional therapies,including percutaneous biopsy and percutaneous vertebroplasty（PVP）,were carried out in three child patients with five pathologically-proved eosinophilic granuloma lesions,which were localized in the vertebrae.The clinical data were retrospectively analyzed.Visual analogue pain scale（VAS） and Oswesty disability index（ODI） were assessed before and after operation.Results A total of four operations were successfully carried out in all of three patients.The mean VAS score reduced from 7 before treatment to 1 after treatment.The mean ODI decreased from preoperative 52.5% to postoperative 10.5%.During procedures no significant complications occurred except for slight cement leakage in some cases.Pain relief and daily activity were remarkably improved after treatment.All patients were followed up for 3 months to 5 years.Conclusion For the treatment of spine eosinophilic granuloma in children,interventional techniques are mini-invasive,safe and effective therapeutic methods.
出处
《介入放射学杂志》
CSCD
北大核心
2011年第9期729-732,共4页
Journal of Interventional Radiology
关键词
脊柱
嗜酸性肉芽肿
介入
经皮椎体成形术
spine
eosinophilic granuloma
intervention
percutaneous vertebroplasty
作者简介
通信作者：吴春根E-mail：chungen．wu@gmail．com
通信作者：吴春根E-mail：chungen．wu@gmail．com
