浅谈经皮椎体成形术在老年性腰椎压缩性骨折中的应用

目的深入探讨经皮椎体成形术在对老年腰椎压缩性骨折的诊断和治疗。方法连续收集实施经皮椎体成形术的46例腰椎压缩性骨折患者。其中椎体一共有56个,同时进行临床观察和影像学的研究。结果经过经皮椎体成形术之后,46例腰椎压缩性骨折患者的疼痛都减轻,甚至有些已消失。在手术之后的一周内患者均能够下床活动。在经过6月的随访,其中有43例患者的疼痛消失,且无并发症出现,在经皮椎体成形术之后经过X线对椎体中的骨水泥进行检查,均发现椎体中的骨水泥均匀的分布,且没有泄漏的现象。结论经皮椎体成形术能够有效的为腰椎压缩性骨折患者减轻疼痛,并进一步稳定椎体,减少相关并发症的发生。因此经皮椎体成形术具有重要的临床价值。

Objective In-depth study of percutaneous vertebroplasty in vertebral compression fractures in the elderly diagnosis and treatment. Methods Continuous collected from March 2012-June 2013 in the hospital during percutaneous vertebroplasty 46 cases of vertebral compression fractures. In which a total of 56 vertebrae, while clinical observation and imaging studies. Results After percutaneous vertebroplasty, 46 cases of vertebral compression fractures in patients with pain are reduced, and even some have disappeared. Within a week after the surgery patients were able to get out of bed. After a six-month follow-up of six months, of which 43 cases of patients with pain, and no complications in percutaneous vertebroplasty for vertebral elapsed after the X-ray inspection of tile bone cement, were found in tile vertebral body the bone cement evenly distributed, and no leakage phenomenon. Conclusion Percutaneous vertebroplasty can be effective for patients with vertebral compression fractures reduce pain and further stabilize the vertebral body and reduce associated complications. Percutaneous vertebroplasty therefore able to effectively secure the treatment of senile vertebral compression fractures, and has important clinical value.