经皮球囊扩张椎体后凸成形术疗效分析及技巧

Efficacy analysis and skills of percutaneous balloon kyphoplasty

[目的]分析总结经皮球囊扩张椎体后凸成形术（PKP）治疗骨质疏松性椎体压缩骨折的临床疗效,探讨手术技巧。[方法]回顾分析自2008年1月～2010年1月本院PKP术治疗的60例骨质疏松性椎体压缩骨折的病例,经术前、术后1 d、术后6月的定期随访,通过骨折部压叩痛程度对比和疼痛视觉类比评分（VAS）,评价临床疗效,并分析总结手术技巧。[结果]所有患者均获定期随访,术前骨折部压叩痛明显、VAS评分为7.85±1.48,术后骨折部位压叩痛明显减轻或消失,VAS评分1.58±0.24,术后6个月随访时骨折部位基本无明显压叩痛,VAS评分为1.03±0.74,采用同一单纯样本t检验对骨折部压叩痛程度指标进行分析,有显著性差异（α=0.05,P〈0.01）,采用配对t检验对术前、术后1 d、术后6月随访时VAS评分进行统计学分析,有显著性差异（P〈0.001）。[结论]应用经皮球囊扩张椎体后凸成形术,结合一定的手术技巧,治疗骨质疏松性椎体压缩骨折,可有效缓解患者疼痛,为本病提供一种微创、有明显疗效、安全可靠的治疗方法。

[Objective]To analyze and summarize the clinical efficacy of percutaneous balloon kyphoplasty（PKP） in the treatment of osteoporotic vertebral compressive fracture and to discuss the operation skills.[Method]Sixty cases of osteoporotic vertebral compressive fracture treated with percutaneous kyphoplasty from January 2008 to January 2010 were analyzed retrospectively.All cases were followed up at pre-operation,the first day post-operation and 6 months post-operation,to evaluated the clinical efficacy and to analyze and summarize the operative skills in terms of pain level and VAS score.[Result]Pain relieved obviously at 1 day and 6 month post-operatively,with significant difference（α=0.05,P0.01）.VAS score were found 7.85±1.48 pre-operatively,1.58±0.24 1 day post-operatively,1.03±0.74 6 month post-operatively,with significant difference（P0.001）.[Conclusion]Percutaneous kyphoplasty combined with some skills in the treatment of osteoporotic vertebral compressive fracture has advantages of mini-invasion,obvious efficacy,efficient pain relief and safety,with good perspective clinical application.