经皮椎体成形术后残余腰背痛的中西医治疗进展  

Progress in the Treatment of Residual Low Back Pain after Percutaneous Vertebroplasty with Chinese and Western Medicine

作　　者：黄文涛 万小明[1] 王照刚 况君[1] HUANG Wentao;WAN Xiaoming;WANG Zhaogang;KUANG Jun(The Affiliated Hospital of Jiangxi University of Chinese Medicine,Nanchang 330006,China.)

机构地区：[1]江西中医药大学附属医院,南昌330006

出　　处：《江西中医药大学学报》2024年第3期115-119,123,共6页Journal of Jiangxi University of Chinese Medicine

基　　金：江西省中医药管理局科技计划项目(2022B013)。

摘　　要：骨质疏松症(OP)临床常指因老年人全身骨量降低从而导致骨脆性升高的同时骨结构发生断裂的一种情况。骨折常常为OP患者主要的并发症之一,其中又以骨质疏松性椎体压缩骨折(OVCF)占比最高,经皮椎体成形术(PVP)因其快速、安全的镇痛效果及微创的技术成为了OVCF患者首选的治疗方式。该技术主要将骨水泥注入患椎,从而达到恢复椎体生物力学强度、有效改善脊柱畸形,同时止痛的效果。但是临床上仍有许多患者存在术后腰背部仍有疼痛及活动受限的现象。中西医治疗椎体成形术后的残余腰背痛各有特点,现主要从PVP术后残余腰背痛的中西医发病机制及其治疗等方面进行归纳和阐述,以期为临床治疗提供参考。Osteoporosis(OP)is a clinical condition in which the bone structure is damaged due to the decrease of bone mass and the increase of bone fragility in the elderly.Fracture is one of the major complications in OP patients,with osteoporotic vertebral compression fractures(OVCF)accounting for the highest rates,percutaneous vertebroplasty(PVP)has become the treatment of choice for these patients because of its fast,safe analgesic effect and minimally invasive technique.This technique mainly injects bone cement into the affected vertebra to restore the biomechanical strength of the vertebra,effectively improve the spinal deformity,and at the same time relieve pain.However,there are still many patients with postoperative low back pain and unfavorable activities.Residual low back pain after vertebroplasty treated with Chinese and Western medicine each has its own characteristic.This article mainly summarizes and elaborates the pathogenesis and treatment of residual low back pain after PVP in Chinese and western medicine,in order to provide a reference for clinical treatment.

关 键 词：骨质疏松骨折 椎体成形术 残余痛 中西医 综述 

分 类 号：R274.9[医药卫生—中西医结合]