Effects of radiofrequency ablation combined with percutaneous vertebroplasty on spinal metastases
Linjie Wang, Guoshao Sun, Qingpo Wu, Linfei Wang, Weichao Sheng, Yanzheng Gao
Published 2018-07-10
Cite as Chin J Pract Med, 2018, 45(13): 23-25. DOI: 10.3760/cma.j.issn.1674-4756.2018.13.008
Abstract
ObjectiveTo evaluate the clinical efficacy of radiofrequency ablation combined with percutaneous vertebroplasty on spinal metastases and to investigate its application value.
MethodsSeventy patients with spinal metastases who were hospitalized in the First People’s Hospital of Pingdingshan from May 2015 to May 2016 were selected as research objects and were randomly divided into control group and observation group, with 35 cases in each group. Patients in control group were treated by simple percutaneous vertebroplasty. Patients in observation group were treated by radiofrequency ablation combined with percutaneous vertebroplasty. The pain visual analogue scale (VAS) score, leakage rate of bone cement and tumor recurrence rate before and after treatment were compared between the two groups.
ResultsThe VAS scores of the two groups after treatment were significantly lower than those before treatment (all P<0.05). The VAS score of observation group was lower than that of control group after treatment, but the difference was not statistically significant (P>0.05); leakage rate of bone cement and tumor recurrence rate of observation group were significantly lower than those of control group, the difference was statistically significant (P<0.05).
ConclusionsIn the clinical treatment of spinal metastases, radiofrequency ablation combined with percutaneous vertebroplasty and only use percutaneous vertebroplasty both can effectively alleviate the patient’s pain, but the former has lower bone cement extravasation rate and lower tumor recurrence rate, by which patients are benefited more.
Key words:
Spinal metastases; Radiofrequency ablation; Percutaneous vertebroplasty; Efficacy analysis
Contributor Information
Linjie Wang
Department of First Orthopedics, the First People’s Hospital of Pingdingshan, Pingdingshan 467099, China
Guoshao Sun
Department of First Orthopedics, the First People’s Hospital of Pingdingshan, Pingdingshan 467099, China
Qingpo Wu
Department of First Orthopedics, the First People’s Hospital of Pingdingshan, Pingdingshan 467099, China
Linfei Wang
Department of Orthopedics, Pingmei Shenma Medical Group General Hospital, Pingdingshan 467099, China
Weichao Sheng
Department of Orthopedics, Henan Provincial People’s Hospital, Zhengzhou 450003, China
Yanzheng Gao
Department of Orthopedics, Henan Provincial People’s Hospital, Zhengzhou 450003, China
