FIELD: medicine.
SUBSTANCE: transpedicular transdermal puncture of vertebra body is performed with trocar needle. After that, venospondilography is carried out, and time of appearance of contrast substance in bodies of adjacent vertebrae is determined. After that, catheter is introduced into lumen of trocar needle. Catheter and port are implanted subcutaneously with further introduction of cytostatics with injectomat through port-system. Rate and minute volume of cytostatics introduction are calculated by time of contrasting of adjacent vertebrae in the process of venospondilography. For thoracic part volume of cytostatics must not exceed 2-2.5 cm3 for the time of filling adjacent vertebrae with contrast, with volume being from 3 to 4.5 cm3 for lumbar part.
EFFECT: effective treatment of patients with spine tumours due to introduction of anti-tumour chemical preparations directly into body of vertebra, affected with tumour or metastasis, which makes it possible to increase concentration of chemical preparations directly in tumour and results in reduction of its continued growth or recurrence.
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Authors
Dates
2015-05-27—Published
2014-02-20—Filed