摘要
目的评估经皮椎体成形术（PVP）治疗骨质疏松性椎体压缩性骨折的疗效。方法选择2010年5月至2012年8月收治的老年性骨质疏松性椎体压缩骨折患者65例（男23例，女42例），应用经皮椎体成形术治疗。随访5～12个月，平均10个月，比较手术前后疼痛程度（VAS法）的变化与Cobb’S的变化，测量伤椎高度，随访伤椎高度丢失情况，记录骨水泥渗漏及随访期间邻近椎体骨折情况。结果65例患者术前和术后1周VAS分别为（6．45±2．88）分和（2．31±0．97）分，两者比较差异有统计学意义（P〈0．05）。术后即刻疼痛缓解程度为50％-80％，无一例出现骨水泥渗漏，脊髓、神经根受压症状，65例均恢复正常生活。结论PVP治疗骨质疏松性椎体压缩骨折疗效较好，治疗后椎体未见进一步压缩，骨水泥注射量与疼痛缓解无联系。
Objective To evaluate the effects of percutaneous vertebralplasty（PVP） on osteopo-rotic vertebral compression fractures. Methods From May 2010 to August 2012, 65 cases of senile os-teoporotie vetrbral compression fractures treated by percutaneous vertebroplasey and followed up 5 to：12 months（average for 10 months） were chosed. The changes of the level of pain （VAS） and Cobb＇ s were compared before and after surgery. Results The VAS of 65 cases were （7.42 ± 1.36） beforePVP and （2.05 ± 0.73） after 1 week, and there was significant difference between them （ P 〈 0.05 ）. The immediate postoperative pain relief was 50% to 80% , and no leakage of bone cement, spinal cord and nerve root compression symptoms occured. The 65 cases all were restored to normal life. Conclusions The effect of PVP in treatment of osteoporotic vertebral compression fractures is bet-ter, vertebral body has no further compression after treatment, and the amount of cement injected and pain relief has no contact.
出处
《中国实用医刊》
2013年第19期41-43,共3页
Chinese Journal of Practical Medicine
