椎体成形术在骨质疏松压缩性骨折早期治疗中的作用  

The effect of percutaneous vertebro plasty in early treatment of osteoportic fracture

作　　者：刘坚义[1] 何明基[2] 陈德基[2] 练辉[2] 姚晓军[1] 王斌[1] 

机构地区：[1]广州医学院第二附属医院急诊创伤外科,广东省广州510260 [2]广州医学院第二附属医院放射介入科,广东省广州510260

出　　处：《中华急诊医学杂志》2005年第11期940-941,共2页Chinese Journal of Emergency Medicine

摘　　要：目的探讨经皮穿刺椎体成形术在骨质疏松压缩性骨折早期治疗中的作用。方法患者30例应用经皮穿刺椎体成形术早期治疗骨质疏松性骨折,男9例,女21例。全部患者术前常规摄正侧位胸腰椎平片、CT或MRI扫描。在C形臂X线机透视导向、全程监视下骨水泥(PCP)穿刺针经皮穿刺椎弓根磷酸钙骨水泥注入。结果全部患者均在术后2～12h缓解疼痛甚至能坐起、站立,30例共治疗49个椎体,27例疼痛完全缓解,2例明显好转,1例疼痛改善。随访1～5个月,所有患者疼痛无反复,无严重并发症。结论骨质疏松压缩性骨折经皮穿刺椎体成形术早期治疗是一种缓解疼痛快、治疗时间短、恢复活动快、创伤小、操作简单、并发症少的有效的治疗方法。Objective To investigate the effect of percutaneous vertebro plasty （PVP） in early treatment of osteoporotic fracture. Methods PVP was used to treat 30 patients with early osteoporotic fracture. All patients went through X-ray, CT and MRI before operation. Monitoring with X-ray apparatus, PCP was injected into pedicle of vertebral arch with transf＇Lxion pin. Results All patients relieved pain within 2 to 12 hours after operation. Twenty-sevem patients odynolysised fully, two patients were improved obviously, and 1 improved slightly. The parients were followed up for 1 to 5 months. All patients didn＇t have serious complications. Conclusion PVP is an effective therapy for osteoporotic fracture. It can relieve pain quickly and has few complications.

关 键 词：椎体成形术 骨质疏松 椎体压缩 经皮穿刺椎体成形术 骨质疏松性骨折 压缩性骨折 早期治疗 缓解疼痛 骨水泥注入 C形臂X线机 MRI扫描 腰椎平片 

分 类 号：R687.3[医药卫生—骨科学]