经皮椎体后凸成形术治疗骨质疏松性椎体骨折效果分析  

Study on the clinical effect of percutaneous kyphoplasty in the treatment of osteoporotic vertebral compression fracture

作　　者：李卫东[1] 崔志明[1] 保国锋[1] 徐冠华[1] 包秀珠[1] 

机构地区：[1]江苏省南通市第一人民医院南通大学第二附属医院脊柱外科,南通226001

出　　处：《南通大学学报（医学版）》2007年第5期375-377,共3页Journal of Nantong University(Medical sciences)

摘　　要：目的:探讨经皮椎体后凸成形术治疗骨质疏松性椎体骨折的临床效果。方法:对11例骨质疏松性椎体骨折患者共15个椎体,在C-型臂X线机透视下行经皮经椎弓根球囊扩张注入骨水泥椎体后凸成形术。对术前、术后1天和术后6月的椎体前缘高度、Cobb角和疼痛评分进行统计学分析。结果:本组11例患者15个椎体手术均取得成功,未出现神经损害、骨水泥外渗和肺栓塞等并发症。术后随访6～20个月,平均10.3个月,所有患者腰背痛症状均在术后基本缓解,椎体前缘高度、Cobb角较术前有显著改善。结论:采用经皮椎体后凸成形术治疗骨质疏松性椎体骨折操作简单、安全,可有效缓解疼痛。Objective： To assess the efficacy of percutaneous kyphoplasty （PKP） in the treatment to osteoporotic vertebral compression fractures. Methods： 15 vertebral osteoporotie vertebral compression fractures of 11 cases were treated with pereutaneous kyphoplasty by injected Polymethylmethaerylate （PMMA） under C-arm shape fluoroscopy monitoring. The data of the vertebral heights, Cobb angle and VAS were analyzed fore-and-aft operation. Results： All patients tolerated the procedure well. No neurological symptomatic and other severe complications were found in all patients. Followed up 10.3 months ,pain scores, vertebral heights and Cobb angle improved significantly after the surgery. Conclusions： Pereutaneous kyphoplasty has been regarded as minimal invasive therapy with good results in the treatment osteoporotie vertebral compression fracture, it provided rapid pain relief and quick recovery of the patients＇ activity.

关 键 词：压缩性骨折 经皮穿刺 后凸成形术 骨质疏松 

分 类 号：R683.2[医药卫生—骨科学]