摘要
目的:探讨经皮椎体后凸成形术(PKP)治疗骨质疏松性椎体压缩性骨折(OVCF)的临床疗效及相关并发症的预防。方法:在C型臂X线机透视下,应用PKP治疗11例OVCF。测定手术前后患者的视觉模拟评分、伤椎前缘高度及Cobb角,并作统计分析。结果:11例患者均手术成功,术后患者较术前视觉模拟评分减小、伤椎高度增加及Cobb角恢复(P<0.01)。术中出现1例骨水泥渗漏,但未出现肺栓塞和脊髓、神经受压。术后2个月出现1例相邻椎体骨折,无肋骨骨折、感染并发症发生。结论:PKP治疗OVCF能够迅速减轻骨折引起的疼痛,并能恢复伤椎高度,矫正脊柱后凸畸形,且手术创伤小,安全可靠。
Objective：To investigate the clinical effect of percutaneous kyphoplasty（PKP） in treatment of osteoporotic vertebral compression fractures,and the prevention of the complications.Methods：PKP was performed under C-arm X-ray in 11 cases of osteoporotic vertebral compression fractures.The visual-analogue scale,anterior vertebral height and Cobb angle were surveyed and analyzed before and after the operation.Results：The operation was successful in all the 11 cases.The visual-analogue scale,vertebral height and Cobb angle were restored after the operation.Bone cement leakage occurred in 1 case during the operation,but no pulmonary embolism or oppression to the spine or nerve was observed;one suffered adjacent vertebral fracture after the operation;no infection or rib fracture occurred.Conclusions：Percutaneous kyphoplasty is safe and effective for treatment of osteoporotic vertebral compression fractures,which may reduce the pain,restore the vertebral height and rectify the spinal kyphosis with little surgical trauma.
出处
《蚌埠医学院学报》
CAS
2011年第4期383-385,共3页
Journal of Bengbu Medical College
