经皮椎体成形术治疗骨质疏松性椎体压缩性骨折的临床疗效观察被引量：12

The clinical efficacy of percutaneous vertebroplasty for osteoporotic vertebral compression fractures

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摘要目的观察经皮椎体成形术治疗骨质疏松性椎体压缩性骨折的临床效果。方法回顾性分析2013-06-2014-11宜春市人民医院骨科采用经皮椎体成形术治疗骨质疏松性椎体压缩性骨折28例患者临床资料，其中胸椎8例，腰椎20例。对所有患者进行随访，采用视觉疼痛模拟量表（VAS）对患者进行疼痛评分，采用0swestry功能障碍指数（ODI）进行脊柱功能评分，术前、术后X线片测量病椎椎体高度及Cobb角恢复情况，并记录相关并发症。结果28例患者术后随访12～23个月，平均15．8个月。患者视觉疼痛模拟评分由术前（8．7±3．5）分降至（1．9±2．2）分（P〈0．01），ODI由术前（68．4±13．3）％降低到末次随访时（10．1±6．6）％（P〈0．01）。椎体前缘高度术前、术后分别为（58．1±15．4）％和（62．2±8．6）％，差异无统计学意义（P〉0．05）。Cobb角术前、术后分别为（21．3±3．8）和（18．2±2．5），差异无统计学意义（P〉0．05）。结论经皮椎体成形术能有效缓解疼痛，提高患者生活质量，是治疗骨质疏松性椎体压缩骨折安全、有效的方法。 Objective To evaluate the clinical efficacy of percutaneous vertebroplasty（PVP） for the patients with osteoporotie vertebral compression fractures（OVCF）. Methods From June 2013 to November 2014, 28 patients with OVCF were assigned to receive PVP. Of the 28 cases, there were 8 with thoracic vertebrae and 20 with lumbar vertebra. All the patients were followed up. The nerve functional restoration at the last follow-up was evaluated by ODI scores, and the height of vertebral body and the angle of Cobb were measured by accumulating the X-ray films of spine for measuring. Results 28 patients were followed up for an average of 15.8 months （ range from 12 to 23 months）. VAS scores ascended from preoperative （ 8.7 ±3.5 ） to postoperative （ 1.9 ± 2. 2）（ P 〈 0. 01 ）. ODI scores ascended from preoperative （68.4 ±13.3 ） % to postoperative （ 10. 1 ± 6.6） % （ P 〈 0. 01 ）. The height of vertebral body ascended from preoperative （58. 1 ± 15.4） % to postoperative （62.2 ± 8.6） % （ P 〉 0. 05 ）. Cobb of cervical spine ascended from preoperative （21.3 ± 3.8 ） to postoperative （ 18.2 ±2. 5 ）（ P 〉 0. 05 ）. Conclusion PVP can significantly reduce the pain and improve the quality of life, showing the preferable clinical benefits, which appears to be a useful and effective manner for the treatment of OVCF.

作者甘心荣饶敏杰张功恒余博黄强聂少平曹盛生

机构地区江西宜春市人民医院(宜春学院附属医院)骨科

出处《中国临床新医学》 2015年第12期1123-1126,共4页 CHINESE JOURNAL OF NEW CLINICAL MEDICINE

基金卫生部医药科技发展研究中心课题(编号:W2013ZT101)

关键词脊柱骨折骨质疏松经皮椎体成形术 Spinal fractures Osteoporosis Vertebroplasty

分类号 R683.2 [医药卫生—骨科学]

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