经皮穿刺椎体成形术治疗脊柱骨质疏松性骨痛的疗效评价  

The therapeutic evaluation of percutaneous vertebroplasty in treatment of osteoporosis

作　　者：张贵祥[1] 王精兵[1] 万智勇[1] 王悍[1] 陈元炯[1] 王麟川[1] 缪竟陶[1] 

机构地区：[1]上海交通大学附属第一人民医院放射科,200080

出　　处：《中华老年医学杂志》2004年第8期543-545,共3页Chinese Journal of Geriatrics

摘　　要：目的　介绍经皮穿刺椎体成型术治疗脊柱骨质疏松性骨痛的临床价值。　方法　分析9例 6 5～ 81岁女性胸椎骨质疏松性骨痛患者采用经皮穿刺椎体成形术治疗的临床资料。　结果　 9例均以背痛、活动受限和运动障碍为主要症状 ,共有 12个胸椎骨质疏松引起的压缩性骨折 ,经皮穿刺椎体成形术后 ,8例立即止痛 ,1例症状缓解 ,均恢复脊柱活动功能。随访 6个月 ,患者病情稳定。　结论　椎体成型术方法简单、易行 ,止痛、防止椎体进一步压缩的效果可靠 ,是治疗脊柱骨质疏松性骨痛的有效方法之一 ,值得推广应用。Objective To check the clinical value of percutaneous vertebroplasty in treatment of osteoporosis. Methods Nine female patients with vertebral osteoporosis at the age of 65-81 years (average age of 73 years). The main symptoms were backache, limitation of activity and dyskinesia. X-ray films and CT showed general vertebral osteoporosis, lateral curvature and vertebral compression fractures. In nine cases with twelve osteoporotic compressions of vertebrae were treated by percutaneous vertebroplasty. Results In eight patients pain relieved immediately, only one case is alleviated . In all of the patients their spinal activities recovered. The patient conditions stabilized during 6 month follow-up. Conclusions Percutaneous vertebroplasty is a simple, easy and reliable method for abatement of pain and prevention of advanced vertebral compression.

关 键 词：经皮穿刺椎体成形术 骨质疏松性骨痛 脊柱疾病 病理学 

分 类 号：R687[医药卫生—骨科学]