经皮椎体成形术治疗骨质疏松性椎体压缩骨折的临床初步报告

Percutaneous vertebroplasty in the treatment of osteoporotic vertebrae compression fracture: preliminary reports

目的 探讨一种治疗骨质疏松性椎体压缩骨折的简单、微创、安全、有效、经济的方法。 方法 2 0 0 1年 3～ 9月 ,对 9例 14个椎体骨质疏松性椎体压缩骨折患者 ,采用经皮经椎弓根向椎体内注射骨水泥或可注射性自固化磷酸钙人工骨 ,男 1例 ,女 8例 ,年龄 33～ 85岁 ,平均 72岁。行椎体成形术。 结果 术后 1～ 2天所有患者疼痛消失或明显减轻 ,第 2或3天下地活动。随访 1～ 6个月 ,所有患者疼痛无反复。无严重并发症发生。 结论 经皮椎体成形术治疗骨质疏松性椎体压缩骨折是一种简单、安全、经济、有效的治疗新方法 ,能早期去除疼痛 ,尽快使患者下床活动 ,减少卧床的并发症。

Objective To study a simple?minimally invasive?safe?effective and economical therapy for osteoportic vertebrae compression fracture. Methods 9 patients with 14 vertebrae (13 lumbar, 1 thoracic) suffered from osteoportic compression fractures were treated with percutaneous vertebrolasty from March to September in 2001. The patients included 8 women and 1 man aged from 33 to 85 years with a mean of 72 years. Results All patients had marked to complete pain relief at 1～2 postoperative days, and could get up to move at 2～3 postoperative days. During 1-6 months follow-up period, no pain reoccurred. No severe comlication occurred. Conclusions Percutaneous vertebroplasty provided significant pain relief in the patients with osteoportic vertebrae compression fractures. It is a promising therapy for patients with osteoportic vertebrae compression fracture.