经皮椎体后凸成形术治疗骨质疏松性胸腰椎椎体压缩性骨折的临床效果以及临床体会  

Clinical effect and experience of percutaneous kyphoplasty in the treatment of osteoporotic thoracolumbar vertebral compression fracture

作　　者：戴成鑫 武海军[2] 刘聪[2] 胡继平[2] 杨建国[2] 刘建军[2] 李小伟[2] 高治国[2] DAI Cheng-xin;WU Hai-jun;LIU Cong;HU Ji-ping;YANG Jian-guo;LIU Jian-jun;LI Xiao-wei;GAO Zhi-guo(Inner Mongolia Medical University,Hohhot 010059;No.2 Orthopaedics Department,the First Hospital of Hohhot,Hohhot 010059,China)

机构地区：[1]内蒙古医科大学,内蒙古呼和浩特010059 [2]呼和浩特市第一医院骨二科,内蒙古呼和浩特010059

出　　处：《临床医学研究与实践》2019年第23期4-5,8,共3页Clinical Research and Practice

基　　金：内蒙古自治区自然科学基金项目（No.2015MS0870）

摘　　要：目的探讨并总结经皮椎体后凸成形术(PKP)治疗骨质疏松性胸腰椎椎体压缩性骨折的方法与经验。方法回顾性分析30例骨质疏松性脊柱椎体压缩性骨折患者应用PKP手术治疗的过程,比较患者手术前、后疼痛视觉模拟评分法(VAS)和Oswestry功能障碍指数(ODI)评分、Cobb角及椎体高度。结果所有患者均顺利完成手术。与术前比较,患者术后的VAS、ODI评分均明显降低,Cobb角明显减小,椎体高度明显增大(P<0.05)。结论采用PKP治疗骨质疏松性胸腰椎椎体压缩性骨折可确切缓解疼痛,恢复椎体高度和形态,是一种理想的治疗方法。Objective To evaluate and summarize the method and experience of percutaneous kyphoplasty(PKP)in the treatment of osteoporotic thoracolumbar vertebral compression fracture.Methods The treatment process of thirty patients with osteoporotic thoracolumbar vertebral compression fracture treated with PKP were retrospectively analyzed.The pain visual analogue scale(VAS)and Oswestry dysfunction index(ODI)scores,Cobb angle and vertebral height before and after operation were analyzed and compared.Results All patients successfully completed the operation.Compared with which before peration,the VAS and ODI scores of patients significantly decreased after operation,the Cobb angle significantly reduced,and the vertebral height significantly increased(P<0.05).Conclusion PKP in the treatment of osteoporotic thoracolumbar vertebral compression fractures can relieve pain,and restore the height and shape of vertebral body,which is an ideal treatment method.

关 键 词：经皮椎体后凸成形术 胸腰椎椎体压缩性骨折 骨质疏松 

分 类 号：R687.3[医药卫生—骨科学]