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经皮椎体后凸成形术治疗骨质疏松椎体压缩性骨折21例 被引量:4

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摘要 目的:探讨经皮椎体后凸成形术治疗骨质疏松椎体压缩骨折的手术方法、适应证及疗效。方法:对21例(36个椎体)骨质疏松性椎体压缩骨折患者采用椎体后凸成形术治疗,均采用C形臂X线机监测下经皮经椎弓根向椎体内穿刺,用球囊扩张使骨折塌陷椎体复位,注入骨水泥、填充由球囊扩张所形成的椎体腔隙。结果:21例患者手术均顺利完成,平均每节椎体手术时间约为30~40min,疼痛于术后1~2h症状明显缓解,术后1~2d开始下地,平均住院日5~6d,随访4~12个月、平均8个月,压缩椎体高度恢复满意,后凸畸形矫正6~20度、平均矫正13度,有1例患者术后复查X线片发现少量骨水泥外溢,但无脊髓神经损伤及肺栓塞等严重并发症。结论:经皮皮球囊扩张椎体后突成形术治疗骨质疏松椎体压缩骨折创伤小、安全,可迅速有效缓解其所引起的疼痛,恢复椎体的高度,维持脊柱的序列。
出处 《陕西医学杂志》 CAS 2012年第1期68-69,75,共3页 Shaanxi Medical Journal
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