椎体成形术中骨水泥弥散面积和骨折类型及疗效关系

Vertebral Plasty in Bone Cement Dispersion Area and the Fracturetype and Curative Effect

目的:探讨经皮穿刺椎体成形术对不同类型胸腰椎压缩骨折椎体内骨水泥弥散面积和疗效的关系。方法 :对行经皮穿刺椎体成形术治疗骨质疏松性压缩骨折的患者资料进行回顾性分析。选择40例病例,共40个病椎。通过术后对骨水泥分布面积比值的计算,同时对术前术后视觉模拟评分(VAS评分)、Cobb角进行统计学分析。分析经皮穿刺在不同骨折类型骨水泥弥散面积以及对疼痛、Cobb角的缓解程度。结果:(1)经皮穿刺椎体成形术后Ⅳ椎体骨折骨水泥分布弥散良好。(2)患者术后VAS评分较术前有显著的降低,早期Ⅳ椎体骨折疼痛缓解明显优于其他三型,但远期效果无统计学差异。结论:经皮穿刺椎体成形术时,Ⅳ椎体骨折骨水泥弥散良好,早期对疼痛缓解明显,能改善其生活质量,但远期效果不明显。

Objective： To study the percutaneous punc ture vertebral plasty for different types of thoracolumbar compression fractures of vertebral body bone cement dispersion area and the therapeutic relationship. Methods： Through the skin puncture vertebral plasty in the treatment of osteoporotic compression fractures patients data were retrospectively analyzed. Choose 40 cases, a total of 40 vertebra illness. By postoperative bone cement distribution area ratio calculation, at the same time for postoperative visual analogue scale（VAS score） and preoperative Cobb Angle for statistical analysis. Fracture analysis of percutaneous puncture in different types of bone cement dispersion area and on the degree of ease pain, Cobb Angle. Results：（1）After percutaneous puncture vertebral Ⅳ vertebral body fracture bone cement distribution in good dispersion.（2）Patients with a preoperative significantly reduce postoperative VAS score, earlyⅣ vertebral fractures pain relief type was better than the other three, but the long-term effect is no statistical difference. Conclusion：Percutaneous puncture vertebral plasty, Ⅳ vertebral fracture bone cement dispersion is good, early for relief of pain, can improve the quality of life, but the long-term effect is not obvious