经皮椎体成形术治疗骨质疏松性胸腰椎压缩骨折  

Percutaneous vertebroplasty in the treatment of osteoporotic thoracolumbar vertebral compression fracture

作　　者：袁建华[1] 廖中亚[1] 胡伟[1] 宋财[1] 赵辉[1] 

机构地区：[1]安徽省亳州市人民医院骨科,236800

出　　处：《解剖与临床》2007年第1期40-41,45,共3页Anatomy and Clinics

摘　　要：目的：观察经皮椎体成形术治疗骨质疏松性胸腰椎压缩骨折的临床疗效。方法：C臂X线透视监控下，以骨水泥为充填材料，经单侧或双侧椎弓根穿刺行经皮椎体成形术（PVP）10例12椎、经皮后凸成形术（PKP）5例8椎。结果：随访2—14个月，10例疼痛完全缓解，4例疼痛部分缓解，1例无效。有效率93．3％。术中穿刺针穿透椎体前壁1例，髓泥渗漏3例，均未产生严重后果。结论：PVP治疗骨质疏松性胸腰椎压缩骨折安全、有效，但要把握好确认“疼痛椎”、准确穿刺、注射骨水泥关键技术。Objective：To observe the clinical effect of percutaneous vertebroplasty in the treatment of osteoporotic thoracolumbar vertebral body compression fracture.Method： Under Carm fluoroscopy, percutaneous vertebroplasty （PVP） and percutaneous kyphoplasty （PKP） were respectively performed on ten cases （12 vertebrae） and 5 cases （8 vertebrae） by paracentesis through pedicle of vertebral arch. The polymethylmethacrylate （PMMA） served as filling material.Rssults：Followed- up from 2 to 14 months,the back pain in 10 cases vanished completely,5 relieved partially and 1 did not relieve.The effective rate was 93.3%. Conclusion：PVP is a safe and effective method to treat osteoporotic vertebral compression fracture （OVCF）,however, it is important to confirm the painful vertebrae,puncture exactly and inject PMMA carefully.

关 键 词：骨质疏松 胸腰椎骨折 椎体成形术 

分 类 号：R687.3[医药卫生—骨科学]