DSA导引下椎体成形术治疗骨质疏松性胸腰段椎体压缩性骨折的观察和配合

DSA guided vertebroplasty to treat osteoporotic vertebral comperssion fracture with the observation and cooperation

目的 探讨椎体成形术治疗骨质疏松性胸腰段多椎体压缩性骨折的临床疗效及配合.方法 36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PMMA胸椎注射2～8 ml（平均3.5 ml）,腰椎3～9 ml（平均5 ml）.结果 36例中35例疼痛改善,有效率为97.2%,随访观察发现止痛效果持久.结论 椎体成形术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 explore the efficacy and cooperation of DSA guided vertebroplasty to treat osteoporotic vertebral compression fracture（OVCF）. Methods 36patients underwent percutaneous vertebroplasty. All patients suffered from persistent severe back pain. Unilateral or bilateral transpedieular approach were performed under DSA guidance, thoracic injection of PMMA into the 2 - 8 ml （mean 3.5 ml） , lum- bar 3 - 9 ml （ average of 5 ml）. Results Partial or complete relief of pain was obtained in 35 patients after the procedure. Follow - up observation showed analgesic effect was maintained and prolonged. Conclusion Percutaneous vertcbroplasty was a safe, effective and Micro - invasire treatment to treat osteoporotic vertebral compression fractures.