PKP治疗椎体压缩性骨折恢复压缩椎体高度的临床研究.pdfVIP

CHINESEC0MMUNITYD0CT0RS 论著·临床论坛 PKP治疗椎体压缩性骨折恢复压缩椎体高度的临床研究 1 2 袁冰 张浩 650500昆明医科大学(云南省昆明市)1 661000昆明医科大学附属第五医院骨三科(云南省红河州)2 doi:10.3969/j.issn.1007-614x.2014.29.18 摘 要 目的：研究应用高黏度骨水泥治疗椎体压缩性骨折恢复压缩椎体高度的临床疗效。方法：回顾性分析53例 65个椎体压缩性骨折患者临床资料，患者均接受经皮椎体后凸成形术(PKP)治疗，均采用单侧椎弓根入路。结果：患 者手术均成功，60例术后压缩椎体高度得到恢复；50例术后Cobb角得到矫正；患者疼痛均得到明显缓解。术前及术 后压缩椎体高度及Cobb角差异均有统计学意义(P＜0.01)。结论：经皮椎体后凸成形术治疗椎体压缩性骨折能有效恢 复压缩椎体高度，矫正Cobb角，值得推广应用。 关键词 经皮椎体后凸成形术；压缩椎体高度；Cobb角 ClinicalresearchofPKPinthetreatmentofvertebralcompressionfracturetorestorecompressionvertebralbody height YuanBing,ZhangHao1 2 KunmingMedicalUniversity(KunmingCity,YunnanProvince),6505001 The Third Department of Orthopaedics,The Fifth Hospital Affiliated to Kunming Medical University(Honghe State,Yunnan Province),6610002 Abstract Objective:Tostudytheclinicaleffectofapplyinghighviscositybonecementinthetreatmentofvertebralcompression fracturetorestorecompressionvertebralbodyheight.Methods:Theclinicaldataof53patientswithvertebralcompressionfracture in65centrumwereretrospectivelyanalyzed.Thepatientswereallgivenpercutaneouskyphoplastytreatment,allusedunilateral pedicleintotheroad.Results:Theoperationsweresuccessfulinallpatients.60casesofpostoperativecompressionvertebralbody heightwererecovered.50casesofpostoperativeCobbanglewerecorrectted.Thepatientspainswereallobviouslyalleviated.The differencesofcompressionvertebralbodyheightandCobbanglebeforeandafteroperationwereallstatisticallysignificant(P＜ 0.01).Conclusion:Thepercutaneouskyphoplastyinthetreatmentofvertebralcompressionfracturecaneffectivelyrestorethe compressionvertebralbodyheight,correcttheCobbangle.Itisworthyofwidelyuse. Keywords Percutaneouskyphoplasty;Compressionvertebralbodyheight;Cobbangle 2011年3月-2013年3月收治椎体压 PKP。术中密切监测患者血压、心率等