经皮椎体成形术治疗老年多节段椎体压缩性骨折疗效分析  

Curative effect of percutaneous kyphoplasty for several osteoporotic vertebral compression fractures

作　　者：聂文波[1,2] 汪明星[1,2] 周峰[1,2] 房明亮[1,2] 

机构地区：[1]徐州医学院骨科,江苏徐州221006 [2]徐州医学院第二附属医院

出　　处：《颈腰痛杂志》2012年第3期202-204,共3页The Journal of Cervicodynia and Lumbodynia

摘　　要：目的观察分析经皮椎体成形术治疗老年多节段椎体压缩性骨折的疗效。方法 2010年2月～2011年2月在本科对14例2个节段、6例3个节段椎体压缩性骨折行经皮穿刺椎体成形术。所有的患者术前通过完善体格检查及辅助检查明确诊断。观察手术前及术后1 d视觉疼痛评分(VAS)评分、巴塞尔指数(BI)、病椎前中柱高度的变化,并随访6个月～1年。结果 VAS评分从术前(8.7±1.2)分降低至术后1 d(2.0±1.1)分(P<0.01);巴塞尔指数从术前(3.2±1.0)分降低至(1.5±0.9)分(P<0.05);病椎椎体前、中柱的平均高度分别由原来的(20.8±2.4)mm和(19.6±2.2)mm,恢复到(24.0±2.1)mm和(23.7±1.4)mm(P<0.05)。结论经皮椎体成形术治疗老年多节段椎体压缩性骨折安全、有效。Objective To assess the curative effect of percutaneous vertebroplasty（PVP） for treating several osteoporotic vertebral compression fractures.Methods From February 2010 to February 2011,20 patients with osteoporotic vertebral compression fractures were treated by PVP in our department.The patients were confirmed through physical examination,X-ray and magnetic resonance imaging before surgery.We established work path through the changes of kyphosis vertebral height,pain,and motion ability,which were observed before and after surgery,all the patients were follow-up for 6～12 months.Results The average scores of VAS and motion ability were decreased from 8.7±1.2 and 3.2±1.0 before surgery to 2.0±1.1 and 1.5±0.9 one day after surgery respectively（P0.01,P0.05）.The average vertebral heights were increased from（20.8±2.4）mmand（19.6±2.2）mm before surgery to（24.0±2.1）mm and（23.7±1.4）mm after surgery respectively（P0.05）.Conclusion The treatment of PVP is of great efficiency and safe.

关 键 词：椎体压缩性骨折 骨质疏松 经皮椎体成形术 骨水泥 

分 类 号：R589[医药卫生—内分泌] R683.2[医药卫生—内科学]