三维CT与C型臂X线机引导椎体成形术治疗椎体骨质疏松性骨折的比较分析  

The comparative analysis about three-dimensional CT and C arm X-ray guide vertebroplasty treat vertebral osteoporosis fracture

作　　者：陈施展[1] 张聪[1] 姚一民[1] 万宇[1] 周玉科[1] 王天雄[1] 檀臻炜[1] 何荣[1] 

机构地区：[1]解放军第452医院骨科,四川成都610021

出　　处：《颈腰痛杂志》2012年第4期291-294,共4页The Journal of Cervicodynia and Lumbodynia

摘　　要：目的比较分析三维CT与C型臂X线机引导经皮椎体成形术(percutaneous vertebro-plasty,PVP)治疗骨质疏松性椎体压缩骨折的疗效和特点。方法 60例骨质疏松性椎体压缩骨折患者随机分成两组,每组30例,分别以三维CT和C型臂X线机引导经皮椎体成形术,记录手术时间、穿刺次数、骨水泥注射量。术前及术后1 d进行疼痛视觉类比评分(VAS),测量伤椎高度,随访伤椎高度丢失情况。结果随访9～24个月,平均13个月。两组患者均无严重并发症发生,术后疼痛视觉类比评分(VAS)、伤椎高度均较术前明显改善,至末次随访仍效果良好。两组术中比较三维CT引导穿刺准确度高,手术时间较短,但骨水泥注射量较C型臂X线机组少。结论三维CT与C型臂X线机引导经皮椎体成形术疗效无差别,三维CT引导穿刺准确率更高,C型臂X光机引导能够实时监控骨水泥注射过程。Objective Comparative analysis of the fractures and characteristics of three-dimen- sional CT and C-arm X-ray machine guided percutaneous vertebroplasty in the treatment of osteo- porotie vertebral compression fractures. Methods 60 patients with osteoporotic vertebral compres- sion fracture were randomly distribute into two groups and three-dimensional CT and C arm X-ray machine guided percutaneous vertebroplasty with operative time,puncture number,bone cement in- jection amount were recorded. The pain of visual analog scale （VAS）,measuring injury vertebral height,vertebral height of loss injury were assessed before and after operation and during follow-up. Results All cases were followed up 9 to 24months,13 months in average. All cases had no severe complications,postoperative pain visual analog scale（VAS） and injury vertebral height were obvious- ly improved. The groups of three-dimensional CT guide had higher puncture accuracy and shorter operative time but less bone cement injection than C arm X-ray groups. Conclusion Three-di- mensional CT and C arm X-ray machine guided percutaneous vertebroplasty have the same curative effect,but three-dimensional CT guide puncture higher accuracy and C arm X-ray machine guide can real-time monitor the process of bone cement injection.

关 键 词：椎体压缩骨折 经皮椎体成形术 CT引导:C型臂X线机引导 骨质疏松 

分 类 号：R589[医药卫生—内分泌]