椎体成形术结合中药治疗骨质疏松性胸腰椎骨折分析展望.docVIP

椎体成形术结合中药治疗骨质疏松性胸腰椎骨折分析展望 　　【摘要】 椎体成形术（Percutaneous vertebroplasty，PVP）及椎体后凸成形术（Percutaneous kyphoplasly，PKP）自上世纪80年代开展以来，以其创伤小、起效快、能短时间下地活动的特点，深受医患欢迎，目前在我国广泛用于治疗骨质疏松性胸腰椎骨折（Osteoporotic Vertebral body compression fractures，OVCFs）。但PVP及PKP本身对骨质疏松并无治疗作用，且填充物刚度明显强于骨质，引起再次骨折及椎体高度再丢失的报道并不少见。中药（Traditional Chinese medicine，TCM）治疗骨质疏松的历史悠久、疗效确切，不少学者对中药治疗OVCFs的机理进行了探索。本文对PVP及PKP联合中药治疗OVCFs的现状进行分析及展望。 　　【关键词】 椎体（后凸）成形术； 骨质疏松性胸腰椎压缩骨折； 中药 　　【Abstract】 PVP and PKP since the last century began in the 1980s，with its small trauma， quick effect， can the characteristics of short time engaged in activities are very popular with patients and doctors.PVP and PKP has been extensively used for treatment of osteoporotic thoracolumbar fractures （OVCFs） in our country，but the PVP and PKP with no treatment effect of osteoporosis，and the filling material stiffness was significantly stronger than that of bone， cause fractures and vertebral body height and then again missing reports are not uncommon.Traditional Chinese medicine treatment of osteoporosis has a long history and good curative effect， which caused many scholars to explore the mechanism of traditional Chinese medicine in the treatment of osteoporotic vertebral compression fracture.In view of this，the author analyzes the current situation of the PVP and PKP combined with traditional Chinese medicine for the treatment of OVCFs. 　　【Key words】 Percutaneous kyphoplasly； Osteoporotic vertebral body compression fractures； Traditional Chinese medicine 　　First-author’s address：Traditional Chinese Medicine of Xiangtan City，Xiangtan 411100，China 　　doi：10.3969/j.issn.1674-4985.2016.26.035 　　随着社会的发展及人类平均寿命的延长，老年性骨质疏松症的其发病率己经跃居世界常见疾病谱第7位。由于我国已进入老龄化社会，60岁以上老年人已经达到1.3亿，因此，我国老年骨质疏松症患者在5000万人以上[1]。原发性骨质疏松症非常容易导致胸腰椎压缩性骨折――骨质疏松性胸腰椎压缩骨折（Osteoporotic vertebral compression fractures，OVCFs）。目前，对OVCFs的治疗颇为棘手，椎体成形术（Percutaneous vertebroplasty，PVP）及椎体后凸成形术（Percutaneous kyphoplasly，PKP）是目前国际公认对该病最有效的治疗手段之一，但该手术对骨质疏松的改善无效，而中药治疗骨质疏松历史悠久、疗效确切。本文结合近年来的研究成果