骨质疏松压缩骨折经皮椎体成形术后影像学评价  

Evaluation from the view of medical imageology for percutaneous vertebroplasty treatment of osteoporotic vertebral compression fractures

作　　者：郝延科[1] 马良[1] 徐展望[1] 

机构地区：[1]山东中医药大学附属医院骨科,山东济南250011

出　　处：《中国中西医结合影像学杂志》2009年第4期270-272,共3页Chinese Imaging Journal of Integrated Traditional and Western Medicine

摘　　要：目的:从影像学角度对我院采用经皮椎体成形术(PVP)结合术中过伸体位治疗新鲜老年骨质疏松性椎体压缩骨折(OVCF)的临床疗效进行评价。方法:收集近3年来我院应用PVP治疗OVCF患者37例(共39个椎体),分别对其术前、术后及术后半年随访时的侧位X线片进行测量,计算出其椎体压缩率及cobb’s角,对所得数据进行统计学分析,从影像学角度对疗效进行评价。结果:本组患者均得到了半年以上的随访,术前、术后椎体压缩率及cobb’s角比较均有显著性差异,术后椎体压缩率及cobb’s角与半年后随访比较无显著性差异。结论:在严格掌握适应证和严格手术操作的前提下,采用PVP结合术中过伸体位治疗新鲜的OVCF,可以在一定程度上有效恢复压缩椎体的高度,纠正脊柱的后凸畸形,并能有效维持椎体高度,防止椎体进一步塌陷,影像学评价满意。Objective：To evaluate the clinical results of treatment of osteoporotic vertebral compression fractures by using percutaneous vertebroplasty combined hyperextension position from the view of medical imageology. Methods： Thirty-seven cases treated by percutaneous vertebroplasty in recent 3 years were collected in this study. Their rates of vertebra compression and cobb＇s angles before, after operation and the follow up period were surveyed from their lateral X ray. Then estimated the clinical results of the treatment from the view of medical imageology. Results： The follow up period was 6 months. There were significant differences in the rates of vertebra compression and the cobb＇s angles before and after operation. There was no significant difference in the rates of vertebra compression and the cobb＇s angles between after operation and the follow up period. Conclusion：A satisfactory result in rebounding vertebra can be achieved for those patients with osteoporotic vertebral compression fractures by using the percutaneous vertebroplasty combined the hyperextension position with strict indications and carefully operation.

关 键 词：经皮椎体成形术 老年骨质疏松性椎体压缩骨折 影像学评价 

分 类 号：R687.3[医药卫生—骨科学] R816.8[医药卫生—外科学]