可注射硫酸钙在PKP及PVP中的临床应用研究

Clinical application of injectable calcium sulfate in PKP and PVP

目的总结本院可吸收硫酸钙应用于经皮椎体成形术与经皮椎体后凸成形术的临床经验和体会。方法本组50例患者于"C"臂X光机引导下,采用经皮穿刺,施行PVP及PKP手术,尽力恢复椎体高度,注入可吸收硫酸钙,通过"C"臂机确认后完成手术。采用疼痛视觉评分系统(VAS),活动能力评分及椎体高度恢复率进行疗效评估。结果所有患者经过VAS评分显示疼痛明显缓解,活动能力明显改善,椎体高度恢复良好。结论可吸收硫酸钙是PVP及PKP治疗中比较理想的填充物。

Objective To evaluate the effect of percutaneouns kyphoplasty （PKP） and percutaneous vertebroplasty（PVP） with injectable calcium sulfate from October 2008 to October 2011. Methods Fifty pa- tients were treated under ＂C＂ armed imaging guiding. PVP and PKP were treated by percutaneous puncture. The purpose of them were try to restore the height of vertebral body. And then injected absorbable calcium sul- fate, finished the operation confirmed by ＂C＂ armed imaging. To evaluate the opreration effects with visual ana- logue scale（VAS） , activity evaluation score and the height restoration rate of vertebral body. Results Marked pain relief was achieved in all patients through VAS（ visual analogue scale）. And all patients had improved in activity and restored in the height of vertebral body. Conclusion Injectable calcium sulfate is a good filler in the treatment of PVP and PKP.