骨质疏松压缩骨折经皮椎体成形术伤椎高度变化的MSCT与临床疗效的评价  

Osteoporosis Compression Fracture Percutaneous Vertebral Plasty Injured Vertebral Height Change of MSCT and Clinical Evaluations

作　　者：杨朝林[1] 刘日新[2] 袁国奇[1] 刘海明[1] 熊诗俊[1] 梁辉清[1] 

机构地区：[1]广东医学院附属中山医院放射科,广东中山528415 [2]广东医学院附属中山医院骨科,广东中山528415

出　　处：《中国CT和MRI杂志》2015年第4期107-110,共4页Chinese Journal of CT and MRI

摘　　要：目的探讨骨质疏松压缩骨折经皮椎体成形术伤椎高度的变化的MSCT与临床疗效的评价。方法经MSCT检查确认25例患者的病变椎体,术前在CT图像上模拟穿刺路径及选择PVP穿刺方式,术后一周内及术后半年进行伤椎复查,对影像数据与临床资料进行统计学分析,从MSCT及临床角度对疗效进行评价。结果本组患者单侧椎弓穿刺成功率92%,术后腰背部疼痛明显减轻,术前、术后椎体压缩率、cobb's角及视觉评分比较在统计学上有显著性差异,而半年后随访椎体压缩率、cobb's角及视觉评分比较无显著性差异。结论 MSCT能为PVP中穿刺针的选择及穿刺路径提供准确的解剖学数据,能协助临床改善PVP效果,并能在术后随访提供重要的临床信息。Objective To investigate injured vertebral height change of the osteoporosis compression fracture after percutaneous vertebral plasty （PVP） with multi-slice CT（MSCT） and clinical evaluations.Methods 25 cases of osteoporosis vertebra compression fractures was confirmed by MSCT examination, preoperative simulation puncture path on CT image and select PVP puncture method, statistical analysis was carried out on the image data and clinical data, from the MSCT and clinical curative effect evaluation.Results This group of patients with unilateral vertebral arch puncture success rate 92%, significantly reduce the lumbar pain after surgery. There is significant statistical difference in pre and post PVP vertebral compression ratio、Cobb＇s Angle and visual analogue scale, there were no significant difference in vertebral compression ratio、cobb＆#39;s Angle and visual analogue scale after six months follow-up data.Conclusions MSCT can provide accurate anatomic data for PVP in the selection of puncture needle and puncture path , can help improve PVP clinical effect, and can provide important clinical information in postoperative follow-up.

关 键 词：经皮推体成形术 骨质疏松性椎体压缩骨折 多层螺旋CT 临床评价 

分 类 号：R445.3[医药卫生—影像医学与核医学] R683.2[医药卫生—诊断学]