经皮椎体成形术治疗骨质疏松椎体压缩性骨折

The treatment of OVCF with PVP technique

目的探讨经皮椎体成形术（PVP）在椎体骨质疏松性骨折（OVCF）中的应用。方法19例患者接受了经皮椎体成形术治疗，患者均有明显腰背疼痛症状，在C形臂放射线机监视下经单侧或双侧椎弓根入路注入PMMA3～10ml，平均6ml。术后患者随访5～21个月。结果19例中，18例疼痛改善，有效率为94．7％，1例因疼痛服用消炎止痛药好转。疼痛缓解时间为术后3～48h内，平均26小时，随访观察发现止痛效果持久。结论PVP是治疗椎体骨质疏松性骨折的一种微创、安全、有效方法。

Objective： To evaluate the role of percutaneous vertebroplasty in treatment of osteoporotic vertebral compression fractureso Methods： 19 patients underwent percutaneous vertebroplasty. All patients suffered from persistent severe back pain. Unilateral or bilateral transpedicular approach were performed under X - ray fluobscopic guidance, a total dosage of 3 - 10ml bone cement was injected （ mean 6ml ） post - operation. All patients were follow - up for 5 - 21 months. Results Partial or complete relief of pain was obtained in 18 patients within 3 -48h （mean 26h） after the procedure. Follow -up observation showed analgesic effect was maintained and prolonged. Conclusion： Percutaneous vertebroplasty was a safe, effective and Micro - invasive treatment to treat osteoporotic vertebral compression fractures.