小剂量经皮椎体成形术治疗高龄椎体后壁破损无神经症状的椎体骨折临床观察  

Clinical Observation of Low Dose Percutaneous Vertebroplasty in the Treatment of Senile Vertebral Fracture with Posterior Wall Damage and Without Neurological Symptoms

作　　者：沈洪弟 崔烨平 魏志祥[1] 蒋涛 SHEN Hong-di;CUI Ye-ping;WEI Zhi-xiang;JIANG Tao(Department of Orthopedics,Kunshan Third People’s Hospital,Kunshan,Jiangsu,215316,China)

机构地区：[1]江苏省昆山市第三人民医院骨科,江苏昆山215316

出　　处：《中国血液流变学杂志》2019年第2期193-194,225,共3页Chinese Journal of Hemorheology

摘　　要：目的 观察小剂量经皮椎体成形术(PVP)治疗高龄椎体后壁破损无神经症状的椎体骨折的效果.方法 对12 例高龄椎体后壁破损无神经症状的椎体骨折患者采用小剂量PVP治疗,分别于术前和术后第3天采用视觉疼痛模拟评分评估患者的临床效果.结果 术后第3天患者坐痛评分由术前的8.36降至2.68,平均改善5.68,翻身痛的评分由术前的8.06降至3.46,平均改善4.60;10 例患者术后睡眠质量明显改善,8 例患者术后第1天能下床缓慢行走.结论 小剂量PVP治疗老年椎体后壁破损无神经症状的椎体骨折引起的疼痛疗效满意,改善患者的生活质量,降低远期死亡率.Objective To observe the effect of low dose percutaneous vertebroplasty (PVP) in the treatment of senile vertebral fracture with posterior wall damage and without neurological symptoms. Methods 12 elderly patients with vertebral fracture with posterior wall damage and no neurological symptoms were treated with low-dose PVP, and their clinical effects were evaluated by visual analogue scores (VAS) before and 3 days after surgery, respectively. Results On the third day after surgery, the score of sitting pain decreased from 8.36 before surgery to 2.68, with an average improvement of 5.68. The score of rolling pain decreased from 8.06 before surgery to 3.46, with an average improvement of 4.60. Postoperative sleep quality was significantly improved in 10 patients, and 8 patients were able to get out of bed and walk slowly on the first day after surgery. Conclusion Low-dose PVP is effective in the treatment of pain caused by vertebral fracture with posterior wall damage and no neurological symptoms in the elderly, which can improve the quality of life of patients and reduce long-term mortality.

关 键 词：骨质疏松 椎体骨折 老年 椎体成形术 

分 类 号：R683.2[医药卫生—骨科学]