摘要
目的:回顾性分析单侧穿刺椎体成形术治疗骨质疏松性椎体压缩骨折疗效、注意事项及常见并发症。方法:入选53例,共61椎;男11例,女42例;年龄69～91岁,平均78.3岁。采用单侧穿刺椎体成形术,注射聚甲基丙烯酸甲酯。对患者手术前后进行疼痛视觉类比评分(VisualAnaloguescale,VAS),观察术中、术后并发症的发生情况。结果:本组病例手术均成功,骨水泥注射量1.5～4.0ml/椎体。术后随访1～15月,平均5.3月,6例骨水泥渗漏至椎体前方或侧方,2例渗漏至椎间隙。1例出现邻近椎体再骨折。VAS术前(7.8±1.1)分,术后3天为(2.3±1.2)分,较术前显著下降(P﹤0.001);随访时平均为(2.1±0.7)分,比术后3天略有下降。结论:单侧穿刺椎体成形术是治疗椎体骨质疏松性压缩骨折的有效微创技术,术前明确责任椎体,术中注意骨水泥的黏度,手术安全性高,但需防止邻近椎体再骨折。
Objective To retrospectively analyze the clinical effecacy,precautions and complications of percutaneous vertebroplasty (PVP)in treating osteporotic spinal fracture..Methods Fifty-three patients (42 females and 11 males) with 61 vertebral compression fractures underwent PVP via unilateral puncture .They were average78.3 years old(69-91 years old), percutaneously via unilateral transpedicular approach into the fractured vertebrae.Polymethylmethacrylate(PMMA) was then injected into the fractured vertebrae.Vasual analogue scale(VAS) was evaluated before and 3 days after surgical and in the follow-up period .Observe complications among and after the operation.Results All cases were successfully done.The volume of PMMA injected was 1.5-4.0ml per vertebrae..The average follow-up period was 5.3 months (1-15months). Cement leakage was detected in the front and lateral of the vertebral in 6cases while in the disc in2 cases。Adjacent vertebral fracture in 1 case.VAS was sharply decreased from per-PVP7.8±1.1 to 2.3±1.2 at day 3rd after the surgica(lP﹤0.001).It decreased slightly to 2.1±0.7 during the follow-up period . Conclusions PVP via unilateral transpedicular approach is an effective mini-invasive technique for osteoporotic spinal compression fractures. Make clear the responsible vertebra before operation and pay attention to viscosity of PMMA intra operation, which will be safe.But it need to prevent Adjacent vertebral fracture.
出处
《内蒙古中医药》
2009年第10X期64-65,共2页
Inner Mongolia Journal of Traditional Chinese Medicine
关键词
单侧
骨质疏松
脊柱骨折
骨水泥
Unilateral
Osteoporosis
Spinal fracture
Bone cements
