经皮椎体后凸成形术治疗新鲜骨质疏松性椎体压缩性骨折的临床分析  

Clinical evaluation of percutaneous kyphoplasty in the treatment of fresh osteoporotic vertebral compression fractures

作　　者：胡晓晖[1] 吴春根[2] 张扬[3] Fritz-Uwe Niethard 

机构地区：[1]宁波市医疗中心李惠利医院脊柱外科,315040 [2]上海交通大学附属第六人民医院放射科 [3]浙江大学流行病学教研室 [4]德国亚琛工业大学附属医院矫形外科

出　　处：《介入放射学杂志》2009年第6期461-465,共5页Journal of Interventional Radiology

摘　　要：目的初步分析经皮脊柱后凸成形术治疗新鲜椎体压缩骨折的临床疗效。方法对30例平均年龄72(65～81)岁的患者进行了可控性的前瞻性研究,所有病例均为孤立的胸腰椎(T8～L4)骨质疏松性椎体压缩性骨折且不伴神经功能障碍,且均予以球囊扩张的经皮脊柱后凸成形术。术后平均随访12个月。结果通过经皮脊柱后凸成形术,患者的脊柱后凸角有显著改善,从术前的平均12.5°变为术后平均6.6°。患者的疼痛视觉模拟评分(Visual Analog Scale;VAS)也于此同时由术前的平均8.2降到术后的1.6。结论经皮脊柱后凸成形术的应用对新鲜骨质疏松性椎体压缩性椎体骨折的患者具有良好的临床效果。Objective To evaluate pereutaneous kyphoplasty in the treatment of fresh osteoporotie vertebral compression fractures. Methods Thirty patients, aged 65-81 years （mean 72 years）, were enrolled in this prospective and consecutive Cohort study. All patients suffered from solitary fresh osteoporotic thoracolumbar vertebral compression fracture （T8-IA） without neurological dysfunction. Percutaneous kyphoplasty with balloon dilatation was performed and a follow-up of 12 months was made. Results Significant improvement in kyphotie angle was obtained after the treatment, which was reduced from 12.5° before the surgery to 6.6° after the surgery. The visual analog scale concerning the back pain was also reduced from 8.2 before the surgery to 1.6 after the surgery. Conclusion For the treatment of fresh osteoporotic vertebral compression fractures, pereutaneous kyphoplasty can achieve excellent therapeutic results.

关 键 词：椎体压缩性骨折 经皮脊柱后凸成形术 骨质疏松症 生活质量 

分 类 号：R687.3[医药卫生—骨科学]