CT导引下单侧PVP治疗老年胸腰椎压缩性骨折18例  

Unilateral PVP Under CT Guidance in the Application of the Elderly Thoracolumbar Compression Fractures

作　　者：王军[1] 

机构地区：[1]菏泽医学专科学校,山东菏泽274000

出　　处：《菏泽医学专科学校学报》2016年第2期42-43,56,共3页Journal of Heze Medical College

摘　　要：目的探讨CT导引下单侧PVP治疗老年胸腰椎压缩骨折的疗效。方法老年胸腰椎压缩性骨折18例(22个椎体),CT引导PVP技术治疗。应用SPSS17.0软件,所获数据采用方差分析和t检验。结果胸腰椎压缩行骨折18例(22个椎体)术中穿刺准确率达100%。术中、术后即时CT检查发现出现骨水泥渗漏4椎(18.1%)。胸腰椎压缩性骨折椎体前缘高度:术前(14.50±2.0)mm、术后分别为(19.1±1.8)mm,术前术后比较(t=8.8902,P<0.001),有非常显著性差异。矢状位Cobb角:术前(18.15±10.15)°,术后(12.92±6.45)°,两组比较(t=2.0398,P<0.05),有显著性差异。VAS评分:治疗前(7.63±0.90)分、治疗后48h为(2.38±1.17)分,治疗前后比较(t=15.233,P<0.001),有显著性差异。结论 CT导引下单侧PVP在老年胸腰椎压缩性骨折效果理想值得推广。Objective To investigate the CT guided by unilateral PVP curative effect for the treatment of elderly thoracolumbar compression fractures. Methods 18 cases of elderly thoracolumbar compression fractures（22） vertebral bodies, CT guided PVP treatment technology. Application SPSS17.0 software, the data obtained using analysis of variance and t test. Results 18 cases of thoracolumbar fracture line developed by vertebral bodies（22） 100% intra-operative puncture accuracy. Intraoperative and postoperative real-time CT examination revealed in 4 vertebral bone cement leakage（18.1%）. Thoracolumbar compression fractures fanterior flange height： preoperative（14.50 ±14.50） mm, postoperative respectively（19.1± 1.8） mm, preoperative postoperative comparison（t = 8.8902, P〈0.001）, there is a very significant difference. Sagittal Cobb Angle： preoperative（18.15 ±10.15） °, postoperative（12.92±6.45） °, comparing the two groups（t =2.0398, P〈0.05）, there is significant difference. VAS score,（7.63±0.90） before treatment, treatment after 48 h is（2.38 ±1.17） points, comparing before and after the treatment（t = 15.233, P〈0.001）, there is significant difference. Conclusion CT guided by unilateral effect of PVP on the elderly thoracolumbar compression fractures ideal is worth promoting.

关 键 词：CT 老年人 胸腰椎 压缩性骨折/治疗 椎体成形术/外科手术 

分 类 号：R683.2[医药卫生—骨科学]