经皮球囊扩张椎体后凸成形术治疗35例老年陈旧腰椎压缩骨折的临床研究  

Percutaneous balloon kyphoplasty for treatment of 35 cases of senile vertebral compression fractures

作　　者：郭强[1] 

机构地区：[1]青海省人民医院骨科,青海西宁810000

出　　处：《现代预防医学》2012年第23期6348-6349,共2页Modern Preventive Medicine

摘　　要：目的探讨经皮球囊扩张椎体后凸成形术治疗老年陈旧腰椎压缩骨折的临床疗效。方法对35例老年陈旧腰椎压缩骨折患者行经皮球囊扩张椎体后凸成形术治疗,对比分析患者手术前后的临床表现,其中疼痛缓解程度采用视觉模拟疼痛评分法(VAS)评定,椎体高度恢复程度通过X线检查测定。结果患者术前VAS评分(8.56±0.73)分,术后VAS评分(2.57±0.48)分,术后患者疼痛得到明显改善,手术前后VAS评分差异有统计学意义(P﹤0.05);患者术前前壁高度(19.45±0.71)mm,中间高度(21.76±0.51)mm,后壁高度(27.33±0.27)mm;患者术后前壁高度(26.38±0.43)mm,中间高度(27.35±0.32)mm,后壁高度(27.42±0.23)mm;患者术后前壁高度以及中间高度恢复明显,与术前差异有统计学意义(P﹤0.01);后壁高度较术前有所恢复,但与术前差异无统计学意义(P﹥0.05)。结论经皮球囊扩张椎体后凸成形术治疗老年陈旧腰椎压缩骨折手术时间短,创伤小,止痛效果好,安全有效,值得推广。OBJECTIVE To evaluate percutaneous balloon kyphoplasty in treatment of senile old lumbar vertebral compression fractures. METHODS 35 cases of senile old lumbar compression fracture treated with percutaneous balloon kyphoplasty treatment. Contrast analysis was conducted before and after operation to investigate clinical manifestations in patients, including evaluation on pain using visual analog pain score （VAS）, vertebral height restoration by X ray measurement. RESULTS The preoperative VAS score of patients （8.56±0.73）, postoperative VAS score （2.57±0.48）, postoperative pain of the patients were improved significantly, VAS before and after operation were significantly different, with statistical significance （ P ﹤ 0.05）; patients with preoperative anterior height （19.45±0.71） mm, intermediate height （21.76±0.51） mm, posteriorhight （27.33±0.27） mm; postoperative anterior wall height （26.38±0.43） mm, intermediate altitude （27.35±0.32） mm, posterior wall height （27.42±0.23） mm; after operation, patients’ anterior wall height and intermediate height restored significantly （P﹤0.01）; posterior wall height was recovered somewhat, but with no significant differences in preoperation and postoperation （P﹥0.05）. CONCLUSION Percutaneous balloon kyphoplasty in treatment of senile old compression fracture of lumbar vertebra has shorted operation time, less trauma, good analgesic effect, and is safe and effective, worthy of promotion.

关 键 词：老年陈旧腰椎压缩骨折 经皮球囊扩张椎体后凸成形术 腰椎疼痛 

分 类 号：R683.2[医药卫生—骨科学]