经皮椎体后凸成形术治疗骨质疏松性椎体压缩性骨折临床医学.docVIP

经皮椎体后凸成形术治疗骨质疏松性椎体压缩性骨折临床医学 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：经皮椎体后凸成形术治疗骨质疏松性椎体压缩性骨折临床医学 1 1 一般资料 3 2 手术方法及术后处理 3 3 评估指标 4 4 统计学处理 4 文2：经皮椎体后凸成形术治疗骨质疏松性椎体骨折效果分析临床医学 7 1 资料与方法 8 2 结 果 9 3 讨 论 9 参考文摘引言： 11 原创性声明（模板） 12 文章致谢（模板） 13 正文 经皮椎体后凸成形术治疗骨质疏松性椎体压缩性骨折临床医学 文1：经皮椎体后凸成形术治疗骨质疏松性椎体压缩性骨折临床医学 Abstract： Objective To investigate the efficacy of percutaneous kyphoplasty in treating vertebral body compressive fractures in patients with Fortyfive cases(99 vertebras) of osteoporotic thoracolumbar compressive fractures were treated with percutaneous operatio were performed under the Carm Xray clinical effects were evaluated with visual analogue pain scale，the mobility scale,the painkiller use scale and the Cobbs All cases were successfully treated without serious postoperative analogue pain scale decreased from ± preoperatively to ± postoperatively,with the final score of ± scale improved from ± preoperatively to ± postoperatively,with the final score of ± painkiller use scale decreased from ± preoperatively to ±,final score ± Cobbs angle improved from (30±)°preoperatively to (21±)°postoperatively,final score (23±)°.Pain relief and activity improvement were was significant difference between post and pre operation,and between final followup and preoperation(P).There was no significant difference between final followup and postoperation(P).Conclusion Percutaneous kyphoplasty is effective for osteoporotic vertebral compressive fractures,which has advantages of minimal trauma and good security. It can relieve pain effectively and correct kyphosis. Key words:vertebral fractures;osteoporosis;kyphoplasty 椎体压缩性骨折是骨质疏松症患者最常见和最严重的并发症之一，引起的疼痛是很多老年人丧失独立生活能力的重要原因。近年来，随着脊柱微创技术的 发展 ，如经皮椎体成形术(PVP)[1]和经皮椎体后凸成形术(PKP)的应用，可达到迅速缓解疼痛和稳定脊柱的目的;同时PKP还可以使椎体压缩骨折部分复位、矫正后凸畸形[2，3]。我科自2007年11月～2009年1月完成PKP术45例共99个椎体，临床效果满意，报告如下。 临床资料 1 一般资料 本组男性14例，女性31例;年龄55～94岁，平均岁。病史1周～1年不等，主要症状为腰背部疼痛，翻身、坐立时加重，平卧休息时减轻，生活需要家人照顾。查体：患椎棘突叩击痛明显，18例有明显的后凸畸形，均无脊髓神经损害体