经皮椎体后凸成形术结合椎体成形术治疗多发性胸腰椎骨质疏松性骨折  

Percutaneous kyphoplasty with percutaneous vertebroplasty for the treatment of multi-osteoporotic thoracolumbar compression fractures

作　　者：郑崇武[1] 郑荣宗[1] 李松强[1] 毛建水[1] 褚旭峰[1] 

机构地区：[1]丽水市中心医院(温州医学院第五附属医院)骨科,浙江丽水323000

出　　处：《临床骨科杂志》2010年第5期501-503,共3页Journal of Clinical Orthopaedics

摘　　要：目的探讨经皮球囊椎体后凸成形术(PKP)结合经皮椎体成形术(PVP)治疗多发性胸腰椎骨质疏松性骨折的临床疗效。方法采用PKP结合PVP治疗多发性胸腰椎骨质疏松性骨折患者14例共42椎,其中10例有1个椎体行PKP,4例有2个椎体行PKP,余椎体均行PVP。术后观察症状改善情况及并发症发生情况。结果术中无严重并发症发生。14例患者均顺利完成手术,并均获得随访,时间5～24(18±5.7)个月。视觉模拟疼痛评分(VAS)由术前(7.8±3.1)分降至术后(2.6±1.5)分,术前术后比较差异有统计学意义(P<0.01)。结论 PKP结合PVP治疗多发性胸腰椎骨质疏松性骨折能明显缓解疼痛,疗效好。Objective To evaluate the efficacy of percutaneous kyphoplasty（PKP）combined with percutaneous vertebroplasty（PVP）in the treatment of multi-osteoporotic thoracolumbar compression fractures.Methods 14 patients（42 vertebrae）with multi-osteoporotic thoracolumbar compression fractures underwent PKP combined with PVP.One vertebra in 10 patients underwent PKP,and two vertebrae in 4 patients underwent PKP,the other vertebrae underwent PVP.The improvement of postoperative pain level,VAS score,and complications were observed.Results No severe complications happened during surgery.All 14 patients were successfully operated,and were followed up for average 18±5.7 months（range,5-24 months）.The mean VAS pain score decreased significantly from 7.8±3.1 preoperatively to 2.6±1.5 postoperatively（P〈0.01）.Conclusions PKP with PVP is effective and can relieve pain apparently for multi-osteoporotic thoracolumbar compression fractures.

关 键 词：脊柱骨折 骨质疏松 疗效 

分 类 号：R683.2[医药卫生—骨科学] R687.3[医药卫生—外科学]