经皮椎体成形术在骨质疏松性椎体骨折及椎体肿瘤中的应用  

Percutaneous vertebroplasty for osteoporotic vertebral collapse fracture or spinal tumor

作　　者：王国文[1] 吴凤宇[2] 吴丽萍[1] 陶天遵[1] 李强 刘百奇 

机构地区：[1]哈尔滨医科大学附属第二医院骨二科,150086 [2]双鸭山矿务局总医院 [3]不详

出　　处：《中国骨质疏松杂志》2008年第3期197-199,共3页Chinese Journal of Osteoporosis

摘　　要：目的比较3种经皮椎体成形术的优缺点,总结经皮椎体成形术在治疗肿瘤和骨质疏松所致椎体压缩性骨折中的临床经验。方法对经过治疗的47例106个病变椎体进行回顾性总结,其中包括骨质疏松性椎体压缩性骨折(VCF)33例,椎体转移癌11例,多发性骨髓瘤2例,椎体血管瘤1例。分别采用经皮椎体成形术(PVP)、经皮球囊椎体后凸成形术(PKP)、及经皮膨胀式椎体后凸成形术(Sky)3种方法。结果穿刺成功率100%,近期效果佳,中远期效果有待进一步观察。结论根据患者的病种、年龄、体质及经济状况综合分析,个体化选择治疗方案。Objective To compare the clinical results of pereutaneous vertebroplasty（ PVP）, balloon pereutaneous kyphoplasty（PKP） and ＂sky-bone expander＂ PKP, and evaluate clinical values in treating vertebral fractures caused by tumors or osteoporosis. Methods Forty-seven （106 vertebral bodies） eases were retrospectively reviewed, including 33 eases osteoporotie vertebral compression fracture （VCFs）, 11 spinal metastases, 2 multiple myeloma and 1 aggressive hemangioma. All eases were done by PVP, PKP or ＂Sky＂ PKP. Results All the procedures were successful, the short-term results after the procedures are favorable regarding both pain relief and functional status. It is currently unknown, however, whether the long-term results are as favorable as the short- term results. Conclusion The authors recommend that the procedure be done individually according to patient＇s age, status, entity and financial situation.

关 键 词：经皮椎体成形术 经皮球囊椎体后凸成形术 经皮膨胀式椎体后凸成形术 个体化治疗 

分 类 号：R681[医药卫生—骨科学]