CT引导下胸椎骨质疏松性骨折PⅤP、PKP治疗的疗效分析

CT guided thoracic osteoporotic fractures P PKP V P, the therapeutic effect of analysis

目的：探讨CT引导下胸椎骨质疏松性骨折椎体成形术（PVP）和椎体后凸成形术（PKP）的疗效和价值。方法：对21例胸椎骨质疏松性骨折病例，在CT引导经皮穿刺经胸椎椎5旁途径共完成PVP、PKP手术19例27个椎体。结果：对21例患者进行了6—15个月的随访，平均12个月，疼痛未复发，椎体形态未见改变，所有患者术中及术后均无并发症发生。结论：在胸椎骨质疏松性骨折PVP、PKP术中，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骨折治疗的理想选择。

Objective：Explore CT guided thoracic osteoporotic fractures vertebral angioplasty （PKP）and vertebral body protruding after angioplasty （PKP） and curative effect of valuet. Methodaln 21 patients with thoracic osteoporotic fractures, CT guided percutaneous beside the thoracic vertebral arch way completed PVP, 19 cases with 27 PKP surgery vertebral body. Results：The results of the 21 patients 6--15 months of follow--up, the average 12 months, pain without relapse, vertebral form did not see change, all patients were no preoperative and postoperative complications. Conclusions：In thoracic osteoporotic fractures P V P, PKP intraoperatie, as long as strictly mastering the operated indication, intraoperative elaborate operation, percutaneous vertebral body is guided senile osteoporosis fracture treatment ideal choice.