椎体成形术治疗老年骨质疏松性椎体压缩骨折疗效分析

Therapeutic analysis of vertebroplasty in the treatment of osteoporotic spinal compression fractures of the aged

目的探讨经皮椎体成形术治疗骨质疏松性脊柱压缩骨折的临床疗效及并发症。方法本组对12例16椎体行经皮椎体成形术(percutaneous vertebrop lasty,PVP),术前及术后3 d进行疼痛视觉评分和活动能力评分;随访期间观察患者疼痛缓解及生活能力状况,并分析骨水泥渗漏等并发症。结果手术全部成功,术后早期疼痛明显缓解,评分术后3 d(2.1±0.4)较术前(6.3±0.3)明显下降(P<0.05);活动能力评分术后3 d(1.3±0.6)较术前(3.1±0.6)明显改善(P<0.05)。经平均12个月随访,1例患者出院后6个月因并发心脏病死亡,患者对治疗效果满意。结论只要严格掌握手术适应证,术中精心操作,经皮椎体成形术是老年骨质疏松性胸腰椎压缩骨折治疗的理想选择。

Objective To study the effect and complications of percutaneous vertebroplasty in treating osteoporotic spinal compression fractures.Methods A group of 12 patients underwent percutaneous vertebroplasty（PVP）.Visual analogue score（VAS）and mobility were evaluated 3 days before and after the operation.Relief of back pain,recovery of living ability and complications were observed in the follow-up of 12 months.Results All patients were operated on successfully and their back pain relieved immediately after operation.Score of pain was distinctly decreased from 6.3±0.3 pre-operation to 2.1±0.4 3 days after operation with a significant difference（P〈0.05）.Score of patients＇ mobility was distinctly increased from 1.3±0.6 preoperation to 3.1±0.6 3 days after operation with a significant difference（P〈0.05）.During average 12 months follow-up,one patient died because of heart disease after six months.All patients got satisfactory clinical effect.Conclusion Under strict selection and elaborate operation,PVP is an ideal method in treating osteoporotic spinal compression fractures.