經(jīng)皮椎體成形術(shù)治療脊椎轉(zhuǎn)移性腫瘤的療效分析.pdf

1、東南大學(xué)碩士學(xué)位論文經(jīng)皮椎體成形術(shù)治療脊椎轉(zhuǎn)移性腫瘤的療效分析姓名：王宏偉申請(qǐng)學(xué)位級(jí)別：碩士專業(yè)：臨床醫(yī)學(xué)；影像醫(yī)學(xué)與核醫(yī)學(xué)指導(dǎo)教師：何仕誠(chéng)20100525英文摘要Percutaneousvertebroplastyforthetreatmentofspinalmetastasis：retrospectiveevaluationoftheefficacyUniversity：SoutheastUniversity，SchoolofCli

2、nicalMedicineAbstractObjectiveToretrospectivelydeterminetheefficacyofPercutaneousvertebroplasty(PVP)inthetreatmentofvertebralmetastases，andcheckfordifferentfactorsinfluencingthesurvivaltimeandthepainreliefefficacyafterth

3、eprocedureMethodsRetrospectivereviewwasconductedon163consecutivepatientsNeurologicalfunctionparalysisornot，obtainingtheKamofskyPerformanceScaleandfollowupthepainrelievesat24hours，1week，1month3months，6monthsandmorethan12m

4、onthsafterPVPStatisticalanalyseswereperformedusingtheSPSS@version130andSAS@StatisticsweremadewithKaplanMeiersurvivalanalysis，Log—ranktest，Bivariatecorrelaions，Generalizedestimatingequation(GEE)Results163patientswerefollo

5、wedupcompletelyTheoriginofthemetastasiswasalungcancer(42cases)，alivercancer(19cases)，aesophagus，gastrointestinalandcoloncancer(34cases)，akidneycancer(10cases)，abreastcancer(46cases)，aprostatecancer(8cases)，alymphoma(2cas

6、es)，anasopharyngealcarcinoma(1case)，auretercancer(1case)CTWasdonewithin3daysafterPVPtoobservePMMAdistributioninvertebraeandwhetherleakageTheefficacyoftheprocedureWasassessedbythechangesduringtheperiodoffollowupinpainandr

7、ecordedsurvivaltimeThesuccessfulrateoftechniqueofPVPWas100％357453mlofPMMAinaverageWasrespectivelyinjectedineachvertebraofthoracicandlumbarTherateofpainreliefat24hours，1week，1month，3months，6monthsandmorethan12monthsafterP