摘要
目的评价经皮椎体后凸成形术(PKP)治疗陈旧性椎体骨质疏松性骨折的近期疗效。方法从2006年8月～2010年9月应用PKP治疗了35例陈旧性椎体骨质疏松性骨折患者共47个骨折椎体,并比较患者术前与术后的视觉模拟评分、活动能力评分以及骨折椎体高度。结果所有患者均成功实施了PKP,平均每个椎体骨水泥用量为(1.89±0.50)ml。术后24h的视觉模拟评分平均为2.8±0.7,显著低于术前的7.1±1.0(P<0.05);术后24h的活动能力评分平均为1.5±0.7,低于术前的2.7±0.7(P<0.05)。骨折椎体的术后平均高度为26.2±4.4mm,显著高于术前的21.8±5.6mm(P<0.05)。结论 PKP能够有效地缓解陈旧性椎体骨质疏松性骨折引起的疼痛,增加病椎的高度,并能显著改善患者的活动能力。
Objective To evaluate the short term therapeutic effects of percutaneous kyphoplasty （PKP） in treating old osteoporotic vertebral fractures. Methods From August 2006 to September 2010, 35 patients of old osteoporotic vertebral fractures underwent PKP with 47 level treated, and preoperative and postoperative scores of visual analogue scale （VAS） , activity ability and heights of fractured vertebrae were compared. Results All patients were successfully treated by PKP, and average bone cement volume for each vertebra was 1.89 ± 0.50ml. Average VAS score of postoperative 24h was 2.8 ± 0.7, which was significantly lower than 7.1 ± 1.0 of preoperative scores （ P 〈 0.05 ）. Average activity ability score of postoperative 24h was 1.5 ± 0.7, and was statistically lower than 2.7 ± 0.7 of preop- erative scores （P 〈 0.05 ）. Average postoperative height of fractured vertebrae was 26.2 ± 4.4mm, and was significantly larger than 21.8 ± 5.6mm of preoperative heights of fractured vertebrae （P 〈 0.05）. Conclusion PKP can effectively alleviate pain caused by old osteoporotic vertebral fractures, increase height of fractured vertebrae, and ameliorate activity ability of patients.
出处
《医学研究杂志》
2012年第9期152-155,共4页
Journal of Medical Research
