113例椎体压缩骨折手术治疗效果分析

Effect analysis of surgical treatment of in 113 cases of vertebral compression fractures

目的经皮穿刺椎体成形的临床疗效,及术中活检的作用。方法选取2012年1月~2013年1月,我院治疗椎体压缩骨折患者共113例,196个椎体。椎体压缩骨折患者中64例采用PKP治疗,49例采用PVP治疗。在DSA引导下经皮穿刺进针,采用PKP和PVP,注入骨水泥113例患者中有76例患者取活检。结果 113例患者顺利完成手术。术前疼痛评分与术后疼痛评分有统计学差异,术前VAS评分与末次随访VAS评分差异有统计学意义。76例患者中,病理示骨髓瘤一例,浆细胞瘤2例。结论 PKP和PVP在治疗椎体压缩骨折具有显著的止痛效果,同时可以让患者早期下床活动。

Objectives To explore clinical curative effect of percutaneous vertebroplasty and the effect of intraoperative biopsy. Methods 113 patients（196 vertebral bodies） with vertebral compression fractures who were treated in our hospital from January 2012 to January 2013 were selected.64 patients were treated by PKP（penetrating keratoplasty） and 49 patients were treated by PVP（percutaneous vertebroplasty）.Needling through percutaneous puncture under the guidance of DSA,bone cement was injected by PKP and PVP.In 113 patients,there were 76 cases with biopsy. Results All patients successfully completed the surgery.There was statistical difference between pain scores before surgery and after surgery.And there was statistical difference between VAS before surgery and at final follow up.In 76 patients,there were 1 cases of myeloma and two cases of plasmacytoma. Conclusion PKP and PVP in the treatment of vertebral compression fractures have significant analgesic effect and can make patients get out of bed early.