摘要
目的观察经皮椎体成形术（PVP）治疗老年骨质疏松性胸腰椎压缩性骨折的临床疗效。方法 2008年3月至2010年12月,应用PVP治疗52例67个（胸椎36,腰椎31）骨质疏松性胸腰椎压缩骨折患者。在C臂X线导向下,经椎弓根向椎体内注入聚甲基丙烯酸甲酯（PMMA）,单个椎体骨水泥注入量为1.6~7.5 mL,平均4.9 mL。结果 术后49例患者疼痛明显缓解,腰背部疼痛在术后4~48 h消失或明显减轻,VAS评分从术前平均（7.93±1.48）分降至术后平均（2.49±1.16）分,差异有统计学意义（P〈0.01）。随访期间没有椎体进一步压缩或变形,无严重并发症发生,所有患者疼痛无反复。结论 经皮椎体成形术是治疗老年骨质疏松脊椎压缩性骨折的一种简单、有效、安全的方法。
Objective To observe the therapeutic effects of percutaneous vertebroplasty（PVP） in treating osteoporotic vertebral compression fractures in elderly patients.Methods From March 2008 to December 2010,52 patients with 67 painful vertebral body fractures（36 in thoracic vertebra and 31 in lumbar）were treated with percutaneous vertebroplasty（PVP）.Polymethyacrylate（PMMA） were injected into the vertebral bodies through pedicle of vertebral arch by C-arm X-ray.1.6-7.5 mL bone cement（average 4.9 mL）was injected into single vertebral body.Results Obvious pain relief was achieved in 49 patients after operation.The low back pain disappeared or abated significantly within 4-48 h after the procedure.The VAS score from 7.93±1.48 before operation decreased to 2.49±1.16 after operation（P0.01）.During the follow-up period,no vertebral body further compression and deformation observed,no serious complications happened,and the low back pain did not reoccur in all patients.Conclusion PVP is effective and safe for the treatment of osteoporotic vertebral compression fractures.
出处
《重庆医学》
CAS
CSCD
北大核心
2011年第29期2944-2946,共3页
Chongqing medicine
关键词
椎体成形术
骨质疏松
骨折
压缩性
vertebroplasty
osteoporosis
fractures
compression
