PKP手术在胸腰椎骨质疏松性骨折中的应用  

Percutaneous kyphoplasies for thoracolumbar fractures in patients with osteoporosis

作　　者：马镇川[1] 童培建[1] 许超[1] 季卫锋[1] 周国庆[1] 

机构地区：[1]浙江省中医院骨伤科,杭州310006

出　　处：《中国骨质疏松杂志》2005年第4期479-481,共3页Chinese Journal of Osteoporosis

摘　　要：目的总结2003年4月～2005年5月胸腰椎骨质疏松性骨折患者中进行经皮椎体后凸成形术(PKP)的经验和体会。方法测量接受PKP手术治疗的26例患者术前术后X线侧位片的椎体高度和Cobbs角度的改变情况,分析手术的有效性和安全性。结果全部病例疼痛完全解除或者有明显缓解,术后椎体高度平均恢复32%,Cobbs角平均纠正24.7°,没有发生严重后果。结论PKP是一种有效、安全的微创手术,能够迅速地改善临床症状,重建脊柱稳定性,具有较好的近期治疗效果。Objective To evaluate the effect of percutaneous kyphoplasies （PKP） in managing thoracolumbar fractures due to osteoporosis from April 2003 to May 2005. Methods Twenty-six patients were treated by PKP. The sagittal index and Cobb＇s angle changes between pre-and post-treatment were measured on a lateral radiograph .The ettlcacies and complications related to the procedure were analysed. Results Marked or complete pain relief was achieved in all patients. The mean corrected sagittal index between pre-and post-treatment was 32%. The mean corrected angle was 24.7 degrees. Conclusions PKP is a minimally invasive, effective and safe procedure that provides pain relief and stabilization of spinal stability.

关 键 词：PKP 胸腰椎骨折 骨质疏松症 有效性 安全性 

分 类 号：R683.2[医药卫生—骨科学] R681[医药卫生—外科学]