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椎体后凸成形术治疗骨质疏松性椎体骨折46例疗效分析

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摘要 目的探讨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疗效,并对存在的问题进行分析。方法 46例(共50个椎体)骨质疏松性椎体压缩骨折患者行PKP治疗。术前、术后及最终随访时分别进行视觉模拟疼痛评分、手术前后以及随访病椎椎体高度以及后凸角度的变化。结果大部分患者术后疼痛明显减轻,后凸畸形明显矫正,未见复发;部分患者出现术后腰骶部疼痛遗留或者随访椎体高度丢失。结论 PKP用于治疗骨质疏松性椎体压缩骨折具有较好的临床效果,但仍可以通过骨水泥充填形态控制来提高疗效和有效预防椎体高度丢失。
出处 《中国医药指南》 2012年第34期268-270,共3页 Guide of China Medicine
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