摘要
目的探讨经皮椎体成形术(paructaneous vertebroplasty,PVP)在治疗胸腰椎压缩性骨折中的应用。方法采用PVP治疗腰椎压缩性骨折患者44例,其中单节段28例,双节段12例,3节段以上的4例,共67个椎体,进行临床和影像学评价。结果本组患者均获得4～23个月的随访(平均15个月)。40例患者术后背部疼痛得到改善；19例患者术后当天下床活动,25例患者术后次日下床,术后X线检查椎内骨水泥分布均匀,无外漏。结论PVP具有止痛和稳定椎体,微创、并发症少等优点,是治疗胸腰椎压缩性骨折安全有效的治疗方法。
Objective To discuss the value and experience of the percutaneous vertebroplasty （PVP） in the treatment of vertebral body compression fracture （VCF） in aged osteoporosis. Methods PVP was performed in 44 cases with VCF including 28 with single vertebral compressed fracture, 12 with double compressed fracture and four with triple compressed fracture, with 67 vertebrae, for clinical and radiological evaluation. Results The mean follow-up was 15 months （4-23 months）. There could be seen immediate relief of pain in 40 cases, out-of-bed activities at operation day in 19 and out-of-bed activities at second day after operation in 25. Postoperative X-ray showed uniformly distributed bone cement in the vertebral, without leakage. Conclusion PVP is a recommendable method for VCF, for it has advantages of pain relief, vertebrae stabilization, minimal invasion and minor complications.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2006年第6期415-416,共2页
Chinese Journal of Trauma
关键词
胸椎
腰椎
骨折
压缩性
椎体成形术
经皮
Thoracic vertebrae
Lumbar vertebrae
Fractures, compressed
Vertebroplasty, percutaneous
