球囊扩张椎体后凸成形术治疗老年骨质疏松性椎体压缩骨折

Treatment of osteoporotic vertebral compression fractures in old patients by percutaneous kyphoplasty

目的探讨椎体后凸成形术治疗老年骨质疏松性椎体压缩骨折的临床疗效。方法采用经皮椎弓根穿刺球囊扩张椎体后凸成形术治疗老年椎体压缩骨折32例48椎,观察对比手术前后疼痛情况及活动能力,评估治疗效果。结果术后患者疼痛明显减轻,活动能力改善。其中术后1 w患者疼痛VAS评分（2.2±0.6）较术前（7.6±0.7）明显下降,（P〈0.01）;活动能力评分（1.2±0.4）较术前（2.4±0.6）明显改善,（P〈0.01）。随访时间3～18个月,平均5.6个月。近期效果满意。结论球囊扩张椎体后凸成形术治疗老年椎体压缩骨折可以有效缓解疼痛,改善活动能力,提高生活质量,疗效满意,值得推广。

Objective To study the effect of percutaneous kyphoplasty in the treatment of painful vertebral compression fracture. Methods Percutaneous transpedicular kyphoplasty was performed in 48 vertebrae bodys of 32 patients, VAS（ Visual analogue scale） and mobility were evaluated before and after operation. Relief of back pain,recovery of living ability and complications were observed in the follow-up. Results All patients were operated on successfully and their back pain relieved immediately after operation, VAS was distinctly decreased from （7.6 ± 0.7 ） preoperation to （ 2.2 ± 0.6 ） postoperation with significant difference （ P 〈 0.01 ） ; scale of patient mobility was respectively decreased from （ 2.4 ± 0.6 ） preoperation to （ 1.2 ± 0.4 ） postoperation with significant difference（ P 〈 0. 01 ）. During average 5.6 months follow-up, All patients got satisfactory clinical effect. Conclusion PKP is a safe, effective and minimally invasive procedure in the treatment of vertebral compression fractures.