椎体成形术治疗老年慢性疼痛性椎体压缩性骨折  

Treatment of chronic and painful vertebral compressive fractures with vertebroplasty in senior patients

作　　者：刘爱华[1] 杨新健[1] 吕宪利[1] 李海云[2] 李立[1] 张友平[1] 林欣[1] 吴中学[1] 

机构地区：[1]首都医科大学附属北京天坛医院神经介入科 北京市神经外科研究所,100050 [2]首都医科大学生物工程学院

出　　处：《中华医学杂志》2007年第33期2355-2357,共3页National Medical Journal of China

基　　金：国家自然科学基金(30670576);北京市自然科学基金(3062006);首都医科大学基础与临床合作基金(2004JL07)

摘　　要：目的评估经皮椎体成形术治疗老年慢性疼痛性椎体压缩性骨折的疗效。方法回顾性分析了经皮椎体成形术治疗的98例存在顽固性腰背部疼痛,生活自理能力严重受挫,平均年龄71岁,平均病史12个月的椎体压缩性骨折患者临床资料。结果采用经皮椎体成形术治疗98例123节椎体压缩骨折,骨水泥注射量为3.5～7 ml。20例患者术后疼痛完全缓解,59例明显缓解,14例有所改善,5例效果不明显。疼痛评分和自理生活能力评分术后均显著下降(P<0.01)。结论应用经皮椎体成形术可以明显改善老年慢性疼痛性椎体压缩性骨折患者的疼痛症状和生活状态。Objective To evaluate the efficiency of treatment of chronic and painful compressive fractures of vertebral bodies with vertebroplasty in senior patients. Methods 98 patients of chronic and painful compressive fractures of vertebral bodies suffering from severely back pain and activity of daily living, 33 males and 65 females, aged 71± 12, with the average medical history of 12 months, underwent vertebroplasty. Follow-up was conducted for 3 - 40 months. Six-point Behavioral Rating Scale and Activity of Daily Living （ADL） Scale were used to evaluate the efficacy. Results 123 affected compressive vertebral bodies in the 98 cases were treated with vertebroplasty. After 3.5 - 7 ml of bone cement was injected into the lesions, complete relief was got in 20 cases, obvious relief was achieved in 59 cases, improvement was made in 14 cases, and no progress was seen in 5 case. The score of 6-point Behavioral Rating Scale decreased from 4.2± 1.1 before vertebroplasty to 1.2 ± 0.9 （P 〈 0.01 ）. The ADL score decreased from 4.2 ± 1.1 before vertebroplasty to 1.9 ± 0.6 （ P 〈 0.01 ）. Conclusion Vertebroplasty significantly improves the painful symptoms and ability of daily life in senior patients with chronic painful vertebral compressive fractures.

关 键 词：脊柱骨折 老年病 椎体成形术 

分 类 号：R687.3[医药卫生—骨科学]