CT成像Pin-point激光导航系统引导下行椎体成形术的临床观察

Percutaneous vertebroplasty guided by CT-Pin-point laser navigation system

目的:探讨CT成像Pin-point激光导航系统引导下行椎体成形术治疗椎体压缩骨折的疗效及优缺点。方法:在CT成像Pin-point激光导航系统引导下行经皮椎体成形术25例,观察手术疗效和并发症发生情况,同时以疼痛分级和Dallas评分的形式记录患者术前、术后的相应得分,通过量化后的数据应用统计学软件进行统计分析,评价手术后的疼痛缓解情况。结果:1例骨水泥轻度渗漏,所有患者术后疼痛分级和Dallas评分均较术前明显减低(P<0.01),均恢复了因疼痛所影响的活动能力。结论:CT成像Pin-point激光导航引导下的椎体成形术手术操作精度高,并发症少,近期疗效好。

Objective:To explore the treatment results of the percutaneous vertebroplasty(PVP) guided by CT-Pin-point laser navigation system.Method:25 cases of PVP guided by CT-Pin-point laser navigation system were summarized.The treatment results and complications were observed.Further more,in order to compare the pain degrees between pre-PVP and post-PVP,the pain scale and Dallas score were recorded in all cases during pre-PVP and post-PVP,and the above records were transmitted to data which can be analysis by computer in the help of the statistic software of SPSS 10.0.Result:By the exception of one case of complication with light degree leakage of bone cement.All cases of PVP have a good effect of anti-pain,and they even recover their ability of activity which were ever damaged by the back pain before.As a statistic result,the pain scale and Dallas score during post-PVP were dropped down dramatically compared with that of pre-PVP(P<0.01).Conclusion:The PVP guided by CT-Pin-point laser navigation system has an advantage of high precision,good effect,and low rate of complication.