75例骨质疏松性椎体压缩骨折的微创治疗  

Mini-invasive Treatment for 75 Patients of Osteoporotic Vertebral Compression Fractures

作　　者：钱太保[1] 李昭程[1] 谢宗玉[2] 高许斌[1] 刘扬[1] 朱仲廉[1] 

机构地区：[1]安徽省蚌埠医学院第一附属医院骨科,233004 [2]安徽省蚌埠医学院第一附属医院放射科,233004

出　　处：《中华全科医学》2012年第2期195-197,共3页Chinese Journal of General Practice

摘　　要：目的评价经皮椎体成形术和经皮椎体后凸成形术治疗骨质疏松性椎体压缩性骨折的效果。方法 75例骨质疏松性椎体压缩性骨折患者108个椎体,在C型臂X线透视下,经皮穿刺,在病椎注入聚甲基丙烯酸甲酯。术前及术后1 d进行疼痛视觉类比评分,并进行统计学分析。同时记录骨水泥渗漏情况。结果 75例患者治疗后疼痛较治疗前有明显好转,VAS评分差异有统计学意义(P<0.01)。经皮椎体成形术组和经皮椎体后凸成形术组病例术后疼痛改善比较差异无统计学意义(P>0.05);两组平均单个椎体手术时间比较差异有统计学意义(P<0.01),经皮椎体后凸成形术组手术时间明显长于经皮椎体成形术组。结论经皮椎体成形术和经皮椎体后凸成形术属微创手术,该手术治疗骨质疏松性椎体压缩骨折止痛效果明显。Objective To evaluate the therapeutic effect of percutaneous vertebroplasty（PVP） and percutaneous kyphoplasty（PKP） in treating osteoporotic vertebral compression fractures（OVCF）.Methods The 108 osteopomtic vertebral compression fractures in 75 patients were injected polymethymethacrylate（PMMA） with a bone marrow biopsy needle under the guidance of C-arm fluoroscopy.Visual analogue scale（VAS） was evaluated one day before and after PVP or PKP therapy,and the PMMA leakage was recorded.Results After PVP or PKP,the pain was relieved considerably in all the 75 patients.The difference was significant in VAS（P0.01）.The post-operational pain relief in PVP group and PKP group had no statistical difference（P0.05）.The average operation time for each centrum was significantly different between the two groups（P0.01）.PKP group used more time than PVP group.Conclusion PVP and PKP are both mini-invasive techniques which are effective in relieving the pain in patients with osteoporotic vertebral compression fractures.

关 键 词：经皮椎体成形术 经皮椎体后凸成形术 骨质疏松 脊柱压缩骨折 

分 类 号：R681.4[医药卫生—骨科学] R681.533[医药卫生—外科学]