摘要
目的探讨靶点定位穿刺路径在椎体成形术中的安全性及有效性。方法对62例(79病椎)胸腰椎骨折患者行PVP,在CT引导下,测量标定穿刺靶点及靶区,分次注射骨水泥,采用VAS评分和Barthel指数评价疼痛缓解情况。结果一次穿刺成功率为100%,手术时间(28.5±5.5)min,术后患者的疼痛缓解率为100%,随访期间无严重并发症。结论 CT引导下精准标定靶点及靶区,能避免穿刺损伤及骨水泥渗漏,有效提高手术安全性,获得良好的治疗效果。
Objective To In investigate the safety and effectiveness of Vertebral plasty with target positioning puncture path. Methods The 62 patients(79 vertebral) who were thoracolumbar fractures with PVP, and under CT guidance, we measure calibration targets and target section, then inject the bone cement and take the the VAS score and Barthel index in pain relief. Results Success rate of puncture was 100%, operation time(28.5 ± 5.5) min, The pain relief rate of post-operative patients was 100%.no serious medical complications during the follow-up period. Conclusion CTguided precision calibration target and the target section can avoid puncture damage and bone cement leakage, improving surgical safety effectively. It was with good treatment.
出处
《中国继续医学教育》
2015年第18期103-104,共2页
China Continuing Medical Education
关键词
椎体成形术
椎体骨折
CT
靶点
穿刺路径
Vertebral plasty
Vertebral fracture
CT
Target
Puncture path