经皮穿刺椎体成形术骨水泥注射量与疗效关系的研究  

The study of the relationship between PMMA injection volume and effect in percutaneous vertebroplasty

作　　者：任广军[1] 邓忠良[2] 

机构地区：[1]滨州市人民医院骨外科,山东滨州256610 [2]重庆医科大学第二附属医院骨科

出　　处：《中国基层医药》2004年第11期1321-1322,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的　探讨经皮穿刺椎体成形术 (PVP)在治疗骨质疏松性椎体压缩骨折中的疗效 ,分析骨水泥注射量与疗效的关系。方法　 36例住院患者在C型臂X线机监控或CT定位下行PVP治疗。术后行X线片及CT检查并分析骨水泥在椎体内的分布情况。结果　 36例共穿刺成功 76个椎体。术前疼痛视觉模拟评分 (VAS)为 7 6± 1 4 ,术后 72hVAS为 3 7± 1 3,术后疼痛明显减轻 (P <0 0 0 1)。随访 8～ 13个月 ,未发现椎体进一步压缩及脊髓受压征象。结论　PVP治疗骨质疏松性椎体骨折疗效稳定 。Objective To evaluate therapeutic effect and analyse relationship between polymthylmethacrylate(PMMA) injection vloume in percutaneous vertebroplasty(PVP) treatment for osteoporotic vertebral fracture.Methods PVP was performed in 36 inpatients,monitored by C arm fluoroscopy,CT or CT plus C arm fluoroscopy.The distribution of PMMA in vertebral body was analysed according to the examination of fluorography and CT after orperation.Results All 36 cases in the group,and 76 vertebral bodies were punctured successfully.The pretreatment VAS was 7.6±1.4,the posttreatment 24～72h VAS was 3.7±1.3.There was apparently relief(P<0.001).The stability of spinal column was evaluated mainly according to X ray or CT examination to find out if there was further compression of vertebral body.All patients were followed up 8～13 months.There were no signs of further compression of vertebral body and spinal cord pression by an image examination.Conclusion The curative effect of PVP was stability in treating osteoporotic vertebral fracture.The injection volume of PMMA and the pain relief did not interrelate.

关 键 词：骨水泥 治疗 经皮穿刺椎体成形术 VAS 疗效关系 疼痛 术后 结论 成比例 目的 

分 类 号：R687.3[医药卫生—骨科学]