经皮椎体成形术治疗83例乳腺癌椎体转移患者的疗效评估

摘要

目的 探讨经皮椎体成形术(PVP)治疗乳腺癌椎体转移的临床疗效和安全性.方法 回顾性分析83例接受PVP治疗的乳腺癌椎体转移患者,分别通过VAS评分和KPS评分、活动能力评分来评估患者的疼痛缓解情况、生存质量改善情况,通过观察术中和术后并发症评估其安全性.随访时间分别为术前24 h,术后24 h、1、3、6个月.结果 83例患者均顺利完成手术,无严重并发症发生.术后患者的疼痛、生存质量、活动能力均明显改善;术前24 h与术后24 h、1、3、6个月相比,各项评分差异有统计学意义(P<0.05).结论 PVP对乳腺癌椎体转移患者疗效较好,能明显缓解疼痛,改善生存质量且安全性好.%Objective To assess the clinical efficacy and safety of percutaneous vertebroplasty(PVP)in the treatment of breast cancer patients with vertebral metastases. Methods Retrospective analysis of 83 breast cancer patients with spinal metastases underwent PVP was conducted. The scores of visual analogue,Karnofsky performance status and mobility were evaluated 24 h before and 24 h,1 month,3 and 6 months after PVP. Re-sults All patients were successfully completed the operation with no serious complications. After PVP,all the scores were improved,with a statistically significant difference between 24 h before PVP and 24 h,1 month,3 and 6 months after PVP(P < 0.05). Conclusions PVP can significantly relieve pain and improve the quality of life for breast cancer patients with vertebral metastases.