经皮椎体成形术后残余腰背痛的危险因素和中医治疗进展

Risk factors of residual lumbago and back pain after percutaneous vertebroplasty and progress in TCM treatment

骨质疏松症(OP)是一种骨质代谢性疾病,以骨骼功能低下及骨组织纤维结构退化为特征。骨质疏松性椎体压缩性骨折(OVCF)是骨质疏松症常见的严重并发症之一。近年来,随着微创技术时代的来临,经皮椎体成形术(PVP)在临床上已被普遍应用于治疗骨质疏松性椎体压缩性骨折。PVP主要是将骨水泥灌注于患椎内,以达到增加患椎的强度及稳定性,缓解患者疼痛的目的。但是,部分PVP术后患者仍残留有不同程度的腰背痛。该文从PVP残余腰背痛的诊断、发病机制、危险因素、中医治疗等方面进行归纳和阐述。

Osteoporosis(OP)is a metabolic disease of bone,characterized by low bone function and degradation of bone tissue fiber structure.Osteoporotic vertebral compression fracture(OVCF)is one of the common and serious complications of OP.In recent years,with the advent of minimally invasive technology,percutaneous vertebroplasty(PVP)has been widely used in clinical treatment of osteoporotic vertebral compression fractures.Percutaneous vertebroplasty is mainly to infuse bone cement into the affected vertebra in order to increase the strength and stability of the affected vertebra and relieve the pain of patients.However,some patients still have different degrees of lumbago and back pain after percutaneous vertebroplasty.This paper summarizes and expounds the diagnosis,pathogenesis,risk factors and traditional Chinese medicine(TCM)treatment of residual lumbago and back pain after percutaneous vertebroplasty.