经皮球囊扩张椎体成形术的临床疗效观察

Clinical Observation on the Therapeutic Effect of Percutaneous Vertebroplasty

目的探讨经皮球囊扩张椎体成形术治疗骨质疏松性椎体骨折与骨肿瘤的临床疗效。方法对30例椎体病变患者采用经皮球囊扩张椎体成形术(PVP)手术方式治疗,对治疗结果进行回顾性统计分析。结果术后椎体高度、Cobb角、疼痛VAS评分均较术前改善,有13例出现少量椎体旁骨水泥渗漏;30例术后随访2～24个月,平均8个月。随访期间,患者的胸腰椎病变处疼痛明显缓解。结论经皮球囊扩张椎体成形术治疗老年骨质疏松性椎体骨折及椎体肿瘤有确切的临床疗效。

Objective To explore the therapeutic effect of percutaneous vertebroplasty in the treatment of osteoporotic vertebral fracture and bone tumor. Methods Thirty patients with vertebral diseases were treated with percutaneous vertebroplasty; the therapeutic effects were analyzed statistically and retrospectively. Results The vertebral heights, Cobb angles and VAS scores were improved after operation, and 13 eases had marginal cement leakage; 30 cases were followed-up for 2 to 24 months with an average of 8 months; patients with thoracolumbar lesions had obvious pain relief during follow-up. Conclusions Pereutaneous vertebroplasty has exact clinical curative effect in the treatment of elderly osteoporotic vertebral fracture and bone tumor.