摘要
目的:探讨经皮穿刺椎体成形术治疗骨质疏松性椎体骨折不愈合的临床疗效。方法:54例患者实施该项手术。术前及术后1天、1个月、3个月及12个月分别进行疼痛视觉模拟评分(visual analog scale,VAS)及Mac Nab评分。术后第1天进行X线及CT检查。所有评分数据收集后使用SAS软件进行重复测量方差分析。结果:48例患者(共54例,6例失访)获得12个月随访。术后第1天(3.120±1.076),第1个月(2.620±0.874)、第3个月(2.320±0.726)、第12个月(1.920±0.686)VAS评分(F=142.481,P=0.000)和术后第1天(2.940±0.598),第1个月(3.060±0.697)、第3个月(3.210±0.683)、第12个月(3.440±0.501)Mac Nab评分(F=144.207,P=0.000)较术前(VAS=8.490±0.689,Mac Nab=1.270±0.449)明显改善。结论:经皮穿刺椎体成形术治疗骨质疏松性椎体骨折不愈合具有良好的疗效。
Objective：To evaluate the clinical outcome of percutaneous vertebroplasty（PVP）in treating osteoporotic vertebral fracture pseudarthrosis. Methods：Fifty-four patients underwent PVP were involved. Visual analogue scale（VAS） and Mac Nab scale were recorded before the operation and on 1 d and at 1 month,3 months,12 months after the operation. In addition,X ray and CT examination were conducted on 1 d postoperatively. After data collection,SAS software was used to do ANOVA for repeated measurement.Results：Follow-up（12 months）was achieved in 48 patients out of 54 patients. VAS（F=142.481,P=0.000）and Mac Nab（F=144.207,P=0.000）scores significantly improved on 1 d（VAS=3.120±1.076;Mac Nab=2.940±0.598）and at 1 month（VAS=2.620±0.874;Mac Nab=3.060±0.697）,3 months（VAS=2.320±0.726;Mac Nab=3.210±0.683）,12 months（VAS=1.920±0.686;Mac Nab=3.440±0.501）after the operation compared with those before the operation（VAS=8.490±0.689,Mac Nab=1.270±0.449）. Conclusion：Percutaneous vertebroplasty is effective in the treatment of osteoporotic vertebral fracture pseudarthrosis.
出处
《重庆医科大学学报》
CAS
CSCD
北大核心
2015年第2期212-216,共5页
Journal of Chongqing Medical University
基金
国家自然科学基金资助项目(编号:31000434)
重庆市自然科学基金资助项目(编号:CSTC2011jjzt0063)
关键词
骨质疏松性椎体骨折
骨折不愈合
经皮穿刺椎体成形术
osteoporotic vertebral compression fracture
bone nonunion
percutaneous vertebroplasty
