摘要
目的:分析探讨经皮穿刺球囊扩张椎体成形术(PKP)在骨质疏松性压缩性骨折(OVCF)治疗中的临床疗效。方法:收集2007年8月~2010年8月在本院诊治的骨质疏松性压缩性骨折患者48例,患者均经进行双光子骨密度测定、磁共振显影、术前X线、CT/MRI等临床影像学检测进行病症诊断。在C型臂X线机透视下,采用经皮穿刺双侧(或单侧)椎弓根入路,在X线透视注射骨水泥。术后观察X线下患者椎体高度变化,采用视觉模式数字评分法对患者疼痛程度进行衡量评价。结果:术后随访48例患者病椎椎体高度均无再塌陷或高度丢失。术后3 d内,患者胸、腰背疼痛症状明显缓解,无症状加重者,且未出现脊神经损伤症状,患者中4例出现骨水泥于椎体前方少量外溢但未出现严重并发症。手术前后VAS分别为(8.75±0.77)分及(2.31±1.32)分,P<0.01;伤椎体高度分别为(14.4±3.1)mm及(24.8±2.7)mm,P<0.01。结论:经皮穿刺球囊扩张椎体成形术作为一种新型微创技术,在骨质疏松性压缩性骨折治疗中疗效显著,能有效改善患者术后的生存质量。
Objective: To analyse the discussion percutaneous balloon angioplasty (expansion vertebral PKP) in osteoporotic fractures (compressibility OVCF) therapy in clinical curative effect. Methods: We collected in August 2007 to August 2010 treated in our hospital since osteoporotic compressibility fracture patients 48 cases and patients were subject to for two-photon bone density testing, and nuclear magnetic resonance imaging, preoperative X-ray, CT/MRI etc clinical imaging detection disease diagnosis. In C arm X-ray machine fluoroscopy, using percutaneous bilateral (unilateral or bilateral) pedicle into the road, in X-ray fluoroscopy injection bone cement. Postoperative observation X line patients vertebral height variations, using visual patterns digital pointrating method to evaluate the degree of patients with pain. Results: The follow-up of 48 patients with vertebral disease were no vertebral body height again collapse or highly lost. After 3 days, patients bosom, waist, back pain symptoms without symptom aggravating obviously alleviate the backbone nerve injury, and does not appear symptoms, 4 cases occur in patients with vertebral bone cement in front a few spillover but does not appear serious complications. Before and after operation, respectively plus or minus VAS (8.75±0.77) points and (2.31±1.32) points, P〈0.01, injury vertebral body height, respectively (14.4±3.1) mm and (24.8±2.7) mm, P〈0.01. Conclusion: Percutaneous balloon expansion vertebral angioplasty as a new micro-traumatic techniques in osteoporotic fractures compressibility treatment of curative effect is distinct, can effectively improve the life quality of patients who underwent.
出处
《中国当代医药》
2011年第11期17-18,共2页
China Modern Medicine
关键词
经皮穿刺球囊扩张椎体成形术
骨质疏松
压缩性骨折
临床疗效
Percutaneous balloon expansion vertebral angioplasty
Osteoporosis
Compressibility fractures
Clinical