老年骨质疏松性椎体压缩骨折及椎体成形术.pdfVIP

提 要 目的：分析经皮椎体成形术（PVP）结合术中过伸体位复位在治疗老年骨质疏松 性椎体压缩骨折方面的临床疗效。方法：收集近三年来我院应用经皮椎体成形术治疗 老年骨质疏松性椎体压缩骨折患者 37 例，应用 VAS 直观疼痛模拟量表对患者术前、 术后疼痛状况进行量化处理，同时收集相关影像学资料，分别测量患者术前、术后、 术后半年随访椎体压缩率及椎体cobb’s角，从疼痛缓解和影像学改变两方面进行疗 效评价。结果：本组术前、术后VAS疼痛评分比较有显著差异性，术前、术后椎体压 缩率及cobb’s角比较均有显著差异性，术后椎体压缩率及cobb’s角与术后半年随 访椎体压缩率及cobb’s角比较无显著差异性。结论：在严格掌握适应症和严格手术 操作的前提下，经皮椎体成形术可以有效缓解骨质疏松性椎体压缩骨折患者疼痛症 状，并能有效维持椎体高度，防止椎体进一步塌陷，结合术中过伸体位复位，还可在 一定程度上恢复压缩椎体高度及矫正后凸畸形，临床应用疗效满意。 关键词 经皮椎体成形术（PVP）；老年骨质疏松性椎体压缩骨折（OVCF）；疼痛 缓解；临床疗效 Osteoporotic Vertebral Compression Fractures and the Percutaneous Vertebroplasty Speciality：Orthopedics of TCM Author ：Ma liang Tutor：Prof. Xu Zhanwang Abstract Objective: To analyze the clinical results of the treatment of osteoporotic vertebral compression fractures by using percutaneous vertebroplasty and hyperextension body position. Methods: 37 cases treated by percutaneous vertebroplasty in recent 3 years were collected in this study.Their symptom of pain before and after operation was quantified by Visual Analogue Scale(VAS). Their rates of vertebra compression and cobb’s angles before and after operation were surveyed. The follow up period was 6 months. Compare the VAS scores and the image data before and after operation.Then estimate the clinical results of the treatment. Results: There was significant difference in the VAS scores and the rates of vertebra compression and the cobb’s angles before and after operation. There was no significant difference in the rates of vertebra compression and the cobb’s angles between after operation and follow up. Conclusion: A satisfactory result in relieving pain and rebounding vertebra could be achieved for those patients with osteoporotic vertebral compression fractures by