摘要
目的探讨2003-06～2009-04经皮椎体成形术治疗老年骨质疏松椎体压缩骨折的疗效。方法共150例,男1例,女149例,年龄48～86岁。均为骨质疏松椎体压缩骨折,采用经皮椎体穿刺方法、经椎体压缩较重的一侧椎弓根入路。76%泛影葡胺造影见椎体后壁无外溢,注入骨水泥充填椎体,保持体位15min。结果145例患者术后疼痛明显减轻,患者术后当日下床活动,术后1个月～5年随访,无不适感及其他并发症。结论经皮椎体成形术治疗老年骨质疏松椎体压缩骨折能迅速消除疼痛、稳定伤椎并重建其功能,且操作简便费用低廉、适用于临床推广。
Objective To investigate efficacy of percutaneous vertebroplasty(PVP) for treatment of aged osteoporotic vertebral compressive fractures(OVCF).Methods One hundrend and fifty cases of OVCF(range 48 to 86 years old),each procedure includes severe lateral insertion into the fractures vertebral body.76% compound-meglumine diatrizoate imaging shows integral posterior vertebral body wall,then filling with bone cement into vertebral body.Keep body position for 15 minutes.Results The back pain relieved immediately after the operation in all of 5 cases.All patients were allowed to get off the bed after the procedure.Two patients were allowed to discharge after the procedure.The 80% height restoration of vertebral were comfirmed by x-ray.At the time of the last follow up all the patients had no back pain and other complications.Conclusion Not only PVP can relieve immediately pain also improves function and spinal alignment in treatment of OVCF.But also its procedure is easy and its cost is cheap.So PVP is available in clinical popularity.
出处
《河南外科学杂志》
2010年第1期14-15,共2页
Henan Journal of Surgery
关键词
骨质疏松
压缩骨折
椎体穿刺
Osterporosis
Compressive Fractures Vertebral Puncture
