经皮椎体成形术治疗胸腰椎骨质疏松性压缩性骨折  

The treatment of osteoporotic thoracolumbar compressive fractures by percutaneous vertebroplasty

作　　者：李龙[1] 李兵[1] 苟凌云[1] 唐运鹏[1] 刘华彦[1] 吴康[1] 潘涛[1] 

机构地区：[1]广西医科大学第五附属医院柳州市人民医院骨科,柳州545001

出　　处：《中国微创外科杂志》2007年第7期621-622,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的 探讨经皮椎体成形术（percutaneous vertebroplasty,PVP）治疗胸腰椎骨质疏松性椎体压缩骨折的临床效果。方法 经单侧椎弓根入路向椎体内穿针并注入骨水泥（聚甲基丙烯酸甲酯）,手术前后疼痛程度应用视觉模拟分级法（visual analog scale,VAS）评分。结果 30例38个椎体PVP均获成功,手术时间20～120 min,平均50 min。术后2周VAS（2.7±0.2）分,与术前（8.0±0.2）分相比有显著性差异（t=21.92,P=0.00）。27例术后随访4～32个月,平均24.3月,胸腰背疼痛无再发或加重,椎体高度无明显变化,相邻椎体未见骨折。结论 PVP能迅速缓解疼痛,增加椎体强度和脊柱稳定性,适用于骨质疏松性脊柱骨折尤其多发性者。Objective To assess the clinical effect of percutaneous vertebroplasty （PVP） in the treatment of osteoporotic thoracolumbar compressive fractures. Methods Thirty patients （36 vertebrae） underwent percutaneous injection of polymethy lmethacrylate. The Visual Analog Scale （VAS） was used to assess the effects before and after PVP. Results All the operation were performed successfully. The operation time was 20 ～ 120 min （mean, 50 min）. The VAS scores at 2 weeks after operation （2.7 ～ 0. 2） was significantly decreased as compared with preoperative scores （8.0 ± 0.2 ） （ t = 21.92, P = 0.00 ）. Postoperative follow-up examinations were carried in 27 patients for 4 ～ 32 months （ mean, 24.3 months）. No recurrence or exacerbation of chest and back pain was noted. The height of the veterbral body had no change and there was no fracture in the adjacent veterbral bodies. Conclusions Percutaneous vertebroplasty can provide significant relief of pain and improve the strength of the vertebral body and the stability of the spine.

关 键 词：骨质疏松症 经皮椎体成形术 脊柱骨折 

分 类 号：R687.3[医药卫生—骨科学]