疼痛性骨质疏松压缩骨折的椎体成形术治疗-放射学实践.pdfVIP

2003 2 19 2 Radiol Practice,Feb 2003,Vol 19,No.2 1 7 ## 陆军, 邓敬兰, 赵海涛, 石梅, 刘晓莉, 傅莉 = :探讨经皮穿刺椎体成形术在治疗疼痛性 质疏松椎体压缩 折中的效用:4 年内31例存在2 个月以上腰背部疼痛药物止痛效果不佳伴活动障碍患者,经临床CT 及MRI 评价为 质疏松椎体压缩, 在CT 引导下完 成经皮穿刺椎体成形术39例次男14 例,女17 例,年龄58~ 81岁, 平均 67.3 岁治疗效果采用Huskisson 止痛视觉评 价法评估:20 例疼痛缓解停用止痛药; 8例患者疼痛减轻, 其中6例用药量下降或降级使用; 3例变化不大, 总有效 率90.3 随访2 个月~ 4年, 治疗部位症状无复发,1例患者 3 个月后由于相邻椎体出现新的压缩而疼痛复发, 二次治 疗好转:经皮穿刺椎体成形术治疗 质疏松椎体压缩是一种微创操作,可以立即缓解疼痛并使患者很快恢复运动; 是一种有价值的治疗 质疏松压缩 折的方法 = 椎体成形术,经皮穿刺; 质疏松; 椎体压缩 = R683. 2; R814.42 = A = 1000-0313( 2003)03-0127-04 Treatment of painful osteoporotic vertebral collapse by percutaneous vertebroplasty LU Jun,DENG Jing-lian, ZHAO Ha-i tao, et al. Department of Radiotherapy, Xijing Hospital,Fourth Military Medical University,Xican 710032,P.R. China = Abstract Objective:Theaim of this study wasto determinetheefficacyof percutaneous vertebroplasty (PVP) in treating painful vertebral osteoporotic collapse.Methods: Thirty one cases of osteoporotic vertebral collapse were evaluated with CT and MR imaging and clinical follow-up,39 procedures of percutaneous vertebroplasty were performed under CT guidance.Thirty one patients included in the study ( 12 men,19 women,aged 58~ 81years) had pain more than two months duration that hindered ambulation and required treatment with analgesic drugs.The analogic visual scale of Huskisson was used for pain scoring assess- ment. Results:In 72 hours after bone cement injection, pain was completely relieved in 20 patients and analgesic administration was stopped.Pain was partially relieved in eight patients and dosis of analgesic decreased. Pain relief was slight in the other 3 pa- tients.Follow up two months to four years, the local pain of treated vertebra did not recur. In one patient pain recurred three months after PVP due to a new a