单侧穿刺椎体成形术治疗新鲜骨质疏松椎体压缩骨折98例临床体会  

Clinical experience of percutaneous vertebroplasty in treating fresh osteoporotic vertebral compression fracture via an unipedicular approach 98 cases

作　　者：张国富[1] 卢尔海[1] 赵善明[1] 郭志荣[1] 张健荣[1] 

机构地区：[1]江门市新会区人民医院,广东江门529100

出　　处：《医药论坛杂志》2014年第6期42-44,共3页Journal of Medical Forum

摘　　要：目的 总结单侧经椎弓根穿刺椎体成形治疗新鲜骨质疏松性椎体压缩骨折的临床疗效及并发症，探讨单侧穿刺椎体成形术使骨水泥达到伤椎双侧理想分布，并取得良好治疗效果的方法 。方法 回顾分析2011年6月至2012年12月行单侧经椎弓根穿刺方法 行椎体成形术（PVP）治疗新鲜骨质疏松性压缩性骨折患者98例病例共121个病椎。统计术前、术后1d、末次随访（3—6个月）疼痛视觉评分（VAS：0—10分）、术后骨水泥分布、并发症发生等情况。结果 98例患者术前、术后1d、术后6个月的VAS评分，有显著统计学差异（P〈0．05）。骨水泥在椎体两侧的分布无统计学意义；术后骨水泥渗漏率是24％；存在一过性神经根刺激症状18例，无需开放手术处理。结论 单侧经椎弓根穿刺椎体成形治疗新鲜骨质疏松椎体压缩骨折安全、有效，术后止痛效果良好，减少长期卧床并发症。Objective To investigate the clinical eficiency and complication of percutaneous vertebroplasty （PVP） in treating fresh spine compression fractures in patients with osteoporosis via an unipedicular approach. Methods Totally 98 patients for 121 times with fresh osteoporotic vertebral compression fracture were treated by unilateral pedicular approach piercing the vertebral body in PVP in our hospital from June 2011 to December 2012. Whose data were retrospectively analyzed. All patients were followed up preoperatively , 1 days, and 3 to 6 months postoperatively. Visual Analogue Scale （VAS） scores were measured to evaluate the clinical efficiency. Results The VAS of 98 eases before PVP and after 1 day and after 6 months, and there were significant difference between them （P 〈 0. 05）. The distribution of bone cement on the both sides of vertebral body has no statistical significance. The leakage rate of bone cement was 24%. There were only 18 cases of spinal cord and nerve root compression symtoms occured, and it ~s no need to open surgery treatment. Conclusion Percutaneous vertebroplasty for fresh spine compression fractures via an unipedicular approach is effective and safe.

关 键 词：椎体成形术 骨质疏松 椎体新鲜压缩性骨折 单侧经椎弓根入路 

分 类 号：R683.2[医药卫生—骨科学]