经皮椎体后凸成形术治疗骨质疏松性胸腰椎压缩性骨折36例体会.docVIP

精品论文 参考文献 经皮椎体后凸成形术治疗骨质疏松性胸腰椎压缩性骨折36例体会 宋殿臣 赵鹏 　　（内蒙古呼伦贝尔市人民医院骨科 内蒙古 呼伦贝尔 021008） 　　【摘要】 目的：探讨经皮椎体后凸成形术（PKP）治疗骨质疏松性胸腰椎压缩性骨折的安全性及临床效果。方法：对36例（共45个椎体）骨质疏松性胸腰椎压缩性骨折行经皮椎体后凸成形术（PKP），在术前、术后和随访6个月时进行疼痛视觉模拟评分(VAS)、计算椎体前后缘高度比值(Beck 值)及脊柱后凸畸形角（Cobb角），数据以（x-plusmn;s）表示，采用SPSS11.0统计软件进行统计学分析。结果：术后31例背部疼痛得到即刻缓解消失，5例疼痛基本缓解；随访6～24个月，平均18个月，术后VAS评分、Beck值及Cobb角与术前比较均有明显改善。结论：经皮球囊椎体后凸成形术（PKP）操作简单，创伤小，能有效缓解疼痛症状、矫正后凸畸形，是治疗老年骨质疏松性胸腰椎压缩性骨折的一种较好选择。 　　【关键词】骨质疏松；椎体压缩性骨折；经皮椎体后凸成形 　　【中图分类号】R687 【文献标识码】A 【文章编号】2095-1752（2015）09-0041-03 　　Protruding after percutaneous vertebral plasty in the treatment of osteoporotic thoracolumbar compression fractures in 36 cases Song Dianchen, Zhao Peng Peoples Hospital of Hulunbuir City, Inner Mongolia, Hulunbuir 021008, China 　　【Abstract】Objective: To investigate the safety and clinical effect of the percutaneous kyphoplasty(PKP) in treating osteoporotic thoracolumbar vertebral compression fractures. Method We used percutaneous kyphoplasty(PKP) to treat 36 patients of osteoporotic thoracolumbar vertebral compression fractures (a total of 45 centrum). At pre-operation,postoperation, the six-month follow-up,we measured pain visual analog scale(VAS), around the edge of the vertebral body height ratio(Beck value) and Kyphosis angle(Cobb angle). We used SPSS 11.0 statistical software for statistical analysis and expressed the datas for x- plusmn;s. Results: Back pain of 31 cases was immediately disappeared after the operation, back pain of 5 cases was eased;these patients were followed up from 6 to 24 months (average of 18 months),the VAS score, Beck value and Cobb angle are signifcantly improved after the operation. Conclusion: PKP is a minimally invasive technique , which is simple and less invasive .It can effectively relieve back pain symptom,correct kyphosis, which is a better choice to treat the older patients of osteoporotic thoracolumbar vertebra compression fractures. 　　【Key words】Osteoporosis; Vertebral co