伤椎钻孔骨减压治疗相关性背痛19例  

Drill in pedicle of vertebral arch for treatment of the back pain of old vertebrae compression fracture:19 cases report

作　　者：端木群立[1] 毛谡[2] 瞿杭波 

机构地区：[1]浙江医院骨科,浙江杭州310013 [2]浙江医院分院骨科,浙江杭州310000 [3]杭州市第人民三医院,浙江杭州310000

出　　处：《中国骨伤》2013年第4期302-304,共3页China Journal of Orthopaedics and Traumatology

摘　　要：目的:探讨和分析伤椎钻孔骨减压治疗单纯椎体压缩性骨析相关性胸腰背疼痛的临床可行性及疗效。方法:2004年5月至2011年12月对19例椎体压缩性骨折胸腰背疼痛患者进行行非计划性和计划性椎体钻孔骨减压术治疗,椎体压缩均≤1/3,其中男13例,女6例;年龄44～68岁,平均61岁;病程3个月～8年,平均为2.5年。胸背痛6例,腰背痛13例。胸椎9节,腰椎16节。结果:19例患者获随访,时间6个月～3年,症状无复发。患者VAS评分术前(5.7±0.3)分,术后(2.3±0.2)分。术后24h疼痛完全缓解4例,部分缓解5例;术后48h疼痛完全缓解10例,部分缓解9例。结论:伤椎钻孔骨减压治疗椎体压缩性骨折胸腰背疼痛能获得满意的疗效,尤其对陈旧性单纯椎体压缩性骨析相关性的胸腰背痛止痛疗效好、创伤小、并发症少。Objective：To investigate and analyses feasibility and therapeutic effect of pedicle of vertebral arch drilling in the treatment of old vertebrae compression fracture patients suffering back pain. Methods：From May 2004 to December 2011,19 patients with back pain caused of old vertebrae compression fracture were treated by vertebral body decompression with drilling. There were 13 males and 6 fema with with an average age of 61 years old ranging from 44 to 78 years. The course of disease was 3 mouths to 8 years （means 2.5 years）. Among them, 6 cases were chest-back pain and 13 were lumbodorsal pain. The thoracic vertebrae fracture involved in 9 segments,lumbar vertebrae fracture involved in 18 segments, vertebral height lose 〈 1/3. Results：Niteen patients were followed up from 6 months to 3 years. The symtoms were not recurrened. The VAS score was 5.7±0.3 preoperative and 2.3±0.2 postoperative. The pain relieved obviously in 4 patients and mainly in 5 patients at 24 hours after operation, and the pain relieved obviously in 10 patients and mainly in 9 patients at 48 hours after operation. Conclusion：Vertebral drill decompression is an effective method for the treatment of old osteoporotic compression fractures with minimally invasive and low complication.

关 键 词：胸椎 腰椎 骨折 背痛 减压 

分 类 号：R733.71[医药卫生—肿瘤]