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出 处:《牡丹江医学院学报》2011年第6期17-19,共3页Journal of Mudanjiang Medical University
摘 要:目的:探讨经皮椎体成形术(PVP)治疗老年性骨质疏松性胸腰椎骨折的临床效果,单侧和双侧注入骨水泥疗效比较,以及术中骨水泥用量和骨水泥渗漏原因及预防。方法:经皮椎体成形术53例,平均年龄70岁,平均注入骨水泥4.5ML,通过视觉模拟疼痛评分(VAS)进行前后对比;将2级(中度疼痛)患者30例分成A,B组,各15例,分别采用单侧和双侧注入骨水泥4.5ML,通过视觉模拟疼痛评分(VAS)进行前后对比。结果:53例患者获得随访,VAS评分术前平均为7.4分,术后一周VAS评分降至3.6分,术后一月降至2.7分,随访患者椎体高度未进行性丢失;A和B组VAS评分平均为8.0分,A组术后一周VAS评分为降至3.4分,术后一月降至2.5分,B组术后一周VAS评分为降至3.2分,术后一月降至2.7分。结论:PVP技术能够有效迅速缓解疼痛,单侧注入骨水泥,注入量约为4.5ML具有很好的临床实用价值。Objective:To study the clinical effect of PVP for the treatment of OVCF in old patients,and to compare the effect of bone cement injection by unlatelral and bilateral,the dosage of bone cement used in the operation,the cause of the bone leakage and the way to prevent.Methods:53 patients received PVP(mean age 70 years old),the average dosage of bone cementwas 4.5ml,to compare the VAS pre and post - operation;divide the 30 patients(middle pain,degree 2) into two groups(group A and group B) andeach group has 15 patients.They were injected bone cement 4.5ml unilateral or bilateral,and compared the VAS pre and post - operation again. Results:53 patients were followed,the average VAS score before surgery was 7.4 points,one week after surgery was 3.6 points, one month later was 2.7 points.The height of veterbody did not decrease in the followed - up patients.the average VAS score before surgery of group A and B was 8.0 points,the average VAS of group A was 3.4 points one week later after operation and 2.5 points one month later.In the group B,the average VAS was 3.2 points one week later and 2.7 points one month later after operation.Conclusion: PVP can relieve the pain quickly and effectively,to inject bone cements of 4.5 ml and by unilateral had good clinical value.
关 键 词:经皮椎体成形术(PVP) 单侧注入骨水泥 骨水泥用量 骨水泥渗漏
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