椎体强化术治疗Kummell’s病的治疗观察  

Clinical efficacy of percutaneous vertebroplasty for the treatment of Kummell's disease

作　　者：陆炯[1] 孙长惠[1] 邹灵[1] 胡旻炜 陈一南[1] 杨泽宇[1] 

机构地区：[1]上海交通大学附属瑞金医院卢湾分院骨科,上海200020

出　　处：《江西医药》2016年第12期1311-1312,1315,共3页Jiangxi Medical Journal

摘　　要：目的探讨经皮椎体强化术(Percutaneous Vertebroplasty,PVP)治疗胸腰椎Kummell’s病的临床效果。方法对38例胸腰椎Kummell’s病患者推行经皮椎体强化术,记录患者手术前,手术后疼痛视觉模拟评分(VAS)和Oswestry功能障碍指数(ODI)。结果 38例Kummell’s病椎体行PVP治疗均成功,手术时间每个病椎平均34min,术前术后VAS评分有统计学意义,35例术后随访6月至9年疼痛无再发及加重,椎体高度无明显变化,相邻椎体来见骨折。结论经皮椎体强化术,操作时间短,能迅速缓解疼痛,恢复椎体高度,增加背柱稳定性,改善患者腰背部功能,对治疗Kummell’s病效果良好。Objective To explore the clinical efficacy of percutaneous vertebroplasty（PVP） for the treatment of Kummell＇s disease. Methods Bone cement was infused into the body of vertebra through percutaneous approach. The visual analogue scale（VAS） was used to assess the pain before and after the operation. The Oswestry disability index（ODI） was used to assess the ability before and after the operation. Results 38 cases,which were diagnosis Kummell＇s disease vertebra,were all operated successfully.The mean operation time was 34 minutes per vertebrae. The VAS scores after operation was 2.73±0.33 points. The ODI scores after operation was（31.3±4.2）%,35 patients were followed up from 6 mouths to nine years after the operation. The chest and back pain was not recurred or aggravated and the height of the vertebral body did not change significantly after the operation. There were no fractures in the adjacent Vertebral bodies. Conclusion PVP is an effective treatment for Kummell＇s disease,as its short operation time,relief pain rapidly,recover the height of vertebral bodies,and increase spinal stabilization and ability.

关 键 词：Kummell’s病 椎体成形术 腰椎骨折 胸椎骨折 骨质疏松 

分 类 号：R687.3[医药卫生—骨科学]