经皮椎体成形术治疗胸、腰椎骨质疏松性压缩性骨折的近期疗效

Short-term effects of percutaneous vertebroplasty in the treatment of osteoporotic vertebral compres- sion fracture

目的探讨经皮椎体成形术（PVP）治疗胸、腰椎新鲜椎体骨质疏松性压缩性骨折的近期疗效。方法采用经椎弓根入路PVP治疗新鲜骨质疏松性胸、腰椎压缩性骨折58例，共67个椎体，随访期3个月，观察患者手术前后疼痛强度视觉模拟评分（VAS）、病变椎体前缘高度与并发症，评估PVP手术的疗效。结果术后1周及3个月时VAS评分与术前比较有明显改善（P〈0．05），病变椎体前缘高度与术前相比无统计学差异（P〉0．05）。全组未见脊髓神经功能障碍、感染、肺栓塞等并发症。结论椎体成形术治疗骨质疏松性胸、腰椎压缩性骨折，近期疗效满意，但对椎体高度的恢复效果不明显。

Objective To investigate the short-term effects of pereutaneous vertebroplasty （PVP） in the treatment of osteoporotic vertebral compression fracture. Methods Fifty-eight patients （67 vertebrae） with thoracic and lumbar osteoporotie vertebral compression fracture were enrolled and treated by PVP. The pa- tients were followed up 3 months. Visual analogue scale （VAS） and the height of anterior margin in compres- sive vertebral body were recorded pre- and postoperatively. Results VAS of back pain was improved signifi- cantly after the treatment than that before the treatment （P 〈 0.05）. The height of anterior margin in compres- sive vertebral body showed no statistical difference before and after the operation （P〉 0.05）. Conclusion Good short-term effects can be achieved with PVP for the treatment of thoracic and lumbar osteoporotic vertebral compression fracture, but with little effect in restoration of vertebral height.