经皮椎体成形术治疗老年人骨质疏松性胸腰椎骨折的疗效及影响因素分析  

The clinical efficacy and impact factors analysis in patients with senile osteoporotic thoracolumbar vertebral compression fractures underwent PVP

作　　者：毛勇 

机构地区：[1]浙江省象山县红十字台胞医院骨科,315731

出　　处：《中国基层医药》2013年第2期247-249,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨经皮椎体成形术（PVP）治疗老年人骨质疏松性胸腰椎压缩骨折（OVCFs）的临床疗效及其主要影响因素。方法采用PVP治疗OVCFs46例，在C臂X线透视下，以骨水泥为充填材料，经椎弓根穿刺注射至59个椎体。结果35例（76．1％）疼痛明显缓解或消失，其余11例有中等程度减轻；随访期3～15个月（平均8．6个月），X线摄片复查示骨水泥弥散良好且已改善的椎体高度未丢失，患者活动能力以及生活质量明显改善。结论PVP具有操作简单、创伤小等优点，可迅速减轻患者疼痛，改善其生活质量。Objective To explore the clinical efficacy of percutaneous vertebroplasty technique（PVP） in the patients with senile osteoporotic thoracolumbar compression fractures （OVCFs） and to explore the main factors of PYP. Methods PVP treatment of OVCFs 46 cases, in the perspective of C-arm X-ray, bone cement as a filling material,transpedicular puncture and injection of 59 vertebrae. Results The pain in 35 cases（76.09% ） OVCFs patients apparent ease or disappear, the remaining 11 cases of moderate relief; follow-up period （ 3 to 15 ） months （ mean 8.6 months）. After X-ray review, the patient＇ s bone cement dispersion was good and has improved vertebral height has not been lost, activity and quality of life significantly improved. Conclusion PVP is simple,less invasive, etc. , which can quickly reduce pain and improve their quality of life.

关 键 词：椎体成形术 骨折 胸椎 腰椎 注射型硫酸钙 

分 类 号：R687[医药卫生—骨科学] R5[医药卫生—外科学]