椎体成形术治疗骨质疏松性椎体压缩性骨折

Percutaneous Vertebroplasty for the Treatment of Osteoporotic Vertebral Compression Fractures

[目的]探讨经皮椎体成形术（PVP）治疗骨质疏松性椎体压缩性骨折的近期临床效果.[方法]自2007年3月至2009年4月应用PVP治疗骨质疏松所致椎体压缩性骨折36例,共45个椎体,术前术后应用国际通用疼痛目测分级评分法（VAS）评价其疼痛程度.[结果]36例患者45个手术穿刺部位均成功,术后疼痛全部得到缓解,无一例发生严重并发症.[结论]PVP治疗骨质疏松性椎体压缩性骨折创伤小,能有效缓解疼痛,维持椎体的稳定性.

[Objective]To explore the short-term clinical efficacy of percutaneous vertebroplasty（PVP） in the treatment of osteoporotic vertebral compression fractures. [Methods] Thirty six cases of vertebral compression fractures（45 vertebral bodies） caused by osteoporosis from March 2007 to April 2009 underwent PVP. Visual analogue scale（VAS） before and after operation was used to evaluate the pain level. [Results]All 36 patients（45 puncture sites） operated successfully. Postoperative pain in all patients was alleviated and no one had serious complications. [Conclusion] PVP for the treatment of osteoporotic vertebral compression fracture is minimally invasive. It can effectively relieve pain and maintain the stability of the vertebral body.