摘要
目的探讨多椎体骨质疏松压缩骨折一次性经皮穿刺椎体成形术的操作方法、临床治疗效果和注意事项。方法在C型臂X线机监视引导下,对39例3个以上的骨质疏松性椎体新鲜压缩骨折的患者同时进行一次性经皮穿刺椎体成形术（PVP）。术后1 d、1周及1、3、6个月对疼痛缓解进行随访和评价。结果每次手术3~5个椎体,共进行129个椎体的成型术治疗。各椎体内骨水泥注射剂量2.0~4.0 mL,术中未发生明显并发症,术后疼痛明显缓解或消失者31例。视觉疼痛模拟评分法（VAS）术前评分为（8.92±1.24）分,术后（2.74±1.84）分。术前与术后比较,差异有统计学意义（P〈0.01）;术后各时间点VAS评分比较,差异无统计学意义（P〉0.05）。结论一次性经皮穿刺椎体成形术是一种治疗多椎体骨质疏松新鲜压缩骨折疼痛快速、安全、有效的方法 。
Objective To evaluate the effectiveness and procedure of percutaneous vertebroplasty（PVP） for the treatment of the pain caused by multiple-level vertebral body compression fractures.Methods 39 cases suffering from fresh multiple-level vertebral body compression fractures,underwent PVP guided by C-arm fluoroscopy in prone position.Visual analgesic scale（VAS） was measured in each patient at 1 d,1week,1month,6 months post-PVP.Results PVP procedures were successful in 129 vertebral bodies of compression fracture and 3~5 vertebral body at one case.The volume of polymethylmethacrylate（PMMA） injected into each vertebral body was from 2.0 mL to 4.0 mL.Without serious complication,31 patients had significant relief of pain after the procedure.The VAS score before vertebroplasty was 8.92± 1.24 compared to a score of 2.74± 1.84 after operation.The mean difference in VAS score was significant（P〈0.01）.The mean difference in VAS score was not significant（P〈0.05） at 1 d,1week,1month,3 months and 6 months after PVP.Conclusion Percutaneous vertebroplasty is a safe and rapid effective method in treatment of the pain caused by multiple-level vertebral body compression fractures.
出处
《重庆医学》
CAS
CSCD
北大核心
2010年第21期2924-2925,2928,共3页
Chongqing medicine
基金
广东省佛山市科技攻关计划项目(0408037)
关键词
骨质疏松
椎体
压缩性骨折
经皮穿刺椎体成形术
osteoporosis
vertebral body
compression fracture
percutaneous vertebroplasty
