经皮椎体成形术治疗椎体骨质疏松性压缩性骨折  

Treatment of Osteoporotic Compression Fracture with Percutaneous Vertebral Plastic Operation

作　　者：唐守言[1] 陆玉和[1] 陈学银[1] 王自立[1] 王凯[1] 安成玲[1] 

机构地区：[1]滁州市第一人民医院放射科,安徽239001

出　　处：《安徽卫生职业技术学院学报》2009年第5期19-20,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:探讨椎体成形术治疗老年性骨质疏松性压缩性骨折的诊断,治疗的适应症及相关技术。方法:回顾性分析经皮穿刺椎体成形术治疗20例患者26节椎体骨质疏松性压缩性骨折的椎体的术后疗效。结果:24节椎体采用单侧椎弓根入路的椎体成形术,2节椎体采用双侧椎弓根入路的椎体成形术治疗均获成功。术后2h及1d疼痛即明显缓解,术中注射骨水泥平均为5.2ml,有2节椎旁静脉丛有细条样骨水泥外渗,1节椎体后软组织内小条状漏出(经小切口钳出)。结论:20例26节椎体经皮穿刺椎体成形术是治疗老年骨质疏松性压缩性骨折的有效方法。Objective： To analyze and determine the indication and the relative technology of percutaneous vertebroplasties in treating vertebral body compression fractures in old patients with osteoporosis.Methods ： To review and analyze percutanteous vertehroplasties performed because of osteoporotic compression fractures. Results： The procedures were successful in 24 vertebroplasty via a unipedicular after 2 hours or lday. The cement injected in the operations averaged 5.2 ml, including 2small sample perivertebral venous plexus leakage,1 strip paravertebral soft tissues leakage （clamped via small incision） without any complication. Conclusions： percutsaneous vertebroplasty is an effective approach for osteoporotic vertebral body compression fractures in old patients.

关 键 词：椎体成形术 骨质疏松性压缩性骨折 经皮穿刺 

分 类 号：R197.3[医药卫生—卫生事业管理]