摘要
目的总结经皮椎体成形术治疗骨质疏松性椎体骨折和椎体肿瘤的临床经验，评估其治疗疗效。方法采用C形臂X线机透视下俯卧位经皮椎弓根椎体穿刺42例（63个椎体，骨质疏松症26例，椎体肿瘤12例，骨髓瘤4例），一般采用单侧椎弓根穿刺，骨水泥量为3～8ml。结果42例治疗都获得成功，33例患者术后3个月疼痛完全缓解，7例明显缓解，2例有所缓解。42例疼痛评分和自理生活能力评分术后均显著下降（P〈0101）。术后随访3～6个月，无复发迹象。结论采用经皮椎体成形术治疗椎体骨质疏松性压缩骨折、椎体肿瘤、椎体血管瘤是一种微创、安全、有效的治疗手段。
Objective To summarize the clinical experiences of osteoporotic vertebral collapse fracture and spinal tumor with percutaneous vertebroplasty and to evaluate its treatment efficiency. Methods 42 patients with 63 diseased vertebra underwent PVP under the guidance of C-arm fluoroscopy, including osteoporotic fractures in 26 patients, spinal tumor in 12 patients, myeloma 4 patients. 3 to 8 ml of PMMA were injected into vertebral bodies through unilateral pedical radicular puncture in general. Results Good results were got in all the 42 cases, The complete relief clinical experiences was got in 28 cases and subcomplete relief was achieved in 12 cases and medial relief was got in 2 cases, no recurrences was found in follow-up （3-6months）. Conclusions The treatment of osteoporotic fractures and spinal tumor and myeloma of vertebral bodies with percutaneous vertebroplasty was mini invasive, safe, and effective.
关键词
椎体成形术
骨质疏松性椎体骨折
椎体肿瘤
Vertebroplasty
Vertebral osteoporotic vertebral collapse fracture
spinal tumor
