C2椎体经皮活检及椎体成形术入路的现状△

Current approaches for C2 vertebral body percutaneous biopsy and vertebroplasty

摘要:

颈部病变主要包括颈椎和颈部软组织病变，由于 C₂椎体较小，且可能损伤颈动脉、椎动脉、后双侧颈神经、前咽喉、椎管内脊髓等关键邻近结构，C₂椎体的骨性病变穿刺取材及肿瘤治疗相对困难，近年来，随着颈椎肿瘤及颈椎转移瘤患者的增多，临床上常需要进行活检术及其他方式以明确病变性质从而进行诊断及后续治疗。本文就 C₂椎体活检及椎体成形术手术入路方式、临床疗效以及并发症等进行综述，以期为临床医师提供参考。

Abstract:

Cervical lesions mainly include cervical vertebrae and soft tissue lesions. Due to the small size of C₂ vertebra, it is relatively difficult to conduct puncture biopsy and tumor therapy with risk to damage the carotid artery, vertebral artery, posterior bilateral cervical nerve, anterior throat, spinal cord and other key adjacent structures. In recent years, with the increasing number of patients with cervical tu- mor and cervical metastatic tumor, biopsy and other therapeutic managements are often needed to determine the nature of the lesion for diag- nosis and subsequent treatment. In this paper, the surgical approach, clinical efficacy and complications of C₂ vertebral biopsy and vertebro- plasty were reviewed, in order to provide reference for clinicians.