基层医院开展经皮椎体后凸成形术的临床体会

Percutaneous Kyphoplasty in Basic Hospitals

目的探讨基层医院开展经皮椎体后凸成形术的临床意义和注意事项。方法2006年1月—2008年8月,应用经皮椎体后凸成形术治疗老年胸腰椎椎体压缩性骨折52例57个椎体,并进行疗效分析和经验总结。结果52例57个椎体均顺利完成手术,患者术后疼痛均明显缓解或消失;病变柏体X线及CT检查显示骨水泥充盈满意,37椎术后椎体高度基本恢复,20椎部分恢复;术后随访12～42个月,平均26个月,疼痛无加重或复发,术椎无再压缩现象。结论经皮椎体后凸成形术治疗老年胸腰椎椎体压缩性骨折,具有疗效好、创伤小、并发症少以及操作简便等优点,有条件的基层医院应该积极开展应用。

Objective To study the clinical significance of percutaneous kyphoplasty in basic hospitals and its points for attention. Methods The therapeutic effects of percutaneous kyphoplasty on senile vertebral compression fractures were ana- lyzed in 52 patients （57 vertebral bodies）. Results Surgeries were successfully completed in 52 patients （57 vertebral bodies）. Pains were significantly eased or disappeared after surgeries. X - ray and CT showed satisfied bone cement filling, regained ver- tebral height in 37, partly regained in 20. Follow -up lasted 12 -42 months, averaging 26 months. Pains did not increase or reoccur, without vertebral recompression. Conclusion Percutaneous kyphoplasty, easy to operate and with smaller traumas and fewer complications, is of good effect in treatment of senile vertebral compression fractures. It may be used in basic hospitals with good conditions.