应用经皮椎体成形术治疗骨质疏松性椎体骨折的研究  

Experiences on percutaneous vertebroplasty for the treatment of osteoporotic vertebral collapse fracture

作　　者：王国文[1] 陶天遵[1] 陶树清[1] 吴凤宇[1] 魏巍[1] 

机构地区：[1]哈尔滨医科大学附属第二医院骨二科,150086

出　　处：《中国骨质疏松杂志》2006年第3期242-245,共4页Chinese Journal of Osteoporosis

摘　　要：目的探讨椎体成形术(PVP)在治疗骨质疏松性椎体压缩性骨折(OVCF)中的作用。方法31例骨质疏松性压缩性骨折患者接受了椎体成形术,患者均有背部疼痛。在X线透视引导下,经单侧或双侧椎弓根入路行PVP,每个椎体注入骨水泥量为3～8ml,平均6.0ml,完成46个椎体成形术。术后患者随访1～18个月。结果31例中绝大多数患者术后6h～2d疼痛明显缓解或消失。结论椎体成形术为骨质疏松压缩性骨折经保守治疗无效患者提供了一种安全、微创、有效的治疗方法。Objective To evaluate the role of percutaneous vertebroplasty （PVP） in treatment of osteoporotic vertebral collapse fracture. Methods Thirty-one patients underwent pereutaneous vertebroplasty were included and all suffered from persistent severe back pain. Unilateral or bilateral transpedicular approach were performed under X-ray fluoroscopic guidance. A totol of 3-8 ml bone cement was injected （mean 6 ml）. Forty-six vertebroplasties were completed. All were follow-up for 1-18 months post-operation. Results Partial or complete relief of pain was obtained in most patients within 6 hours to two days after the procedure. Conclusions （PVP） is a safe, effective and minimally-invasive procedure in the management of osteoporotic vertebral collapse fractures.

关 键 词：椎体成形术 经皮穿刺 骨质疏松 椎体压缩骨折 

分 类 号：R681.4[医药卫生—骨科学] R683.2[医药卫生—外科学]