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椎体成形术和后凸成形术治疗老年性骨质疏松性胸腰椎压缩性骨折应注意的几个问题 被引量：15

Experience and key points in vertebral compression fracture treated with percutaneous vertebraplasty and kyphoplasy in elders
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摘要 目的通过观察经皮椎体成形术(percutaneous vertebraplasty,PVP)和球囊扩张椎体后凸成形术(percutaneous kyphoplasy,PKP)治疗老年性骨质疏松性椎体压缩性骨折(vertebral compression fracture,VCF)的疗效,探讨PVP和PKP的适应证,术前、术中及术后应注意的问题。方法观察和随访行PVP和PKP治疗的VCF患者107例182椎,男46例,女61例;年龄55岁～96岁,平均76岁。结果术后48小时内,97.2%(104/107)的患者表示疼痛减轻,其中0级30.8%(33/107)为完全缓解;Ⅰ级54.2%(58/107)为部分缓解;Ⅱ级12.2%(13/107)为轻微缓解;Ⅲ级2.8%(3/107)为治疗无效。全部获得随访,随访时间为6个月～3年,平均22个月。7例术后半年因其他疾患死亡,术后6个月的随访中,疼痛的缓解率达94%。而95%的患者可恢复椎体丧失高度的50%以上。结论 PVP和PKP是治疗老年性骨质疏松性VCF较理想的方法。 Objective To review the outcomes of vertebral compression fracture treated with percutaneous vertebraplasty （PVP） and percutaneous kyphoplasy（PKP） in elders,and to explore surgical indications and key points in PVP and PKP.Methods Totally 107 patients（182 thoracic and lumbar compression fractures） were treated with PVP.There were 46 males and 61 females with an average age of 76 years（ranged from 55 to 96 years）.Results The pain relieved in 104 patients（97.2%） 48 hours postoperatively.The average duration of follow up was 22 months（ranged from 6 months to 3 years）.Seven patients died from other diseases 6 months postoperatively.Conclusion PVP and PKP are excellent surgical treatment for thoracic and lumbar compression fracture.
作者 吴春生 宋朝晖 郝建东
机构地区 河北医科大学第三医院骨科创伤急救中心
出处 《中国骨与关节外科》 2010年第4期271-274,共4页 Chinese Journal of Bone and Joint Surgery
关键词 经皮椎体成形术 椎体压缩性骨折 骨质疏松 Percutaneous vertebraplasty Vertebral compression fracture Osteoporosis
分类号 R687.3 [医药卫生—骨科学]
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参考文献16

  • 1Diamond TH,Champion B,Clark WA.Management of acute osteoporotic vertebral fractures:a nonrandomized trial comparing percutaneous vertebra plasty with conservative therapy.Am J Med,2003,114(4):257-265.
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二级参考文献18

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共引文献21

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引证文献15

二级引证文献66

中国骨与关节外科
2010年 第4期

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