摘要
目的：探讨经皮椎体球囊后凸成形术（percutaneous kyphoplasty,PKP）在骨质疏松性胸腰椎压缩性骨折中的临床应用,了解其对于镇痛及椎体高度复位的临床效果。方法：28 例骨质疏松性胸腰椎压缩性骨折接受 PKP 术,共 28 个椎体。记录术前、术后的视觉模拟评分（visual analog scale,VAS）及患椎高度的变化。结果：术前、术后 VAS 评分及椎体高度变化有统计学意义。对所有患者进行 6~18 个月的随访（平均 12.5 个月）,无 1 例患者发生肺栓塞、下肢神经损伤,2 例无症状骨水泥漏。结论：PKP 术对于老年人骨质疏松性压缩性骨折的治疗疗效明确,其能快速缓解腰背部疼痛,减轻后凸畸形,提高患者的生活质量。
Objective：To explore the clinical effect of percutaneous kyphoplasty（PKP） in the treatment of thoracolumbar vertebral compression fractures（VCFs）with osteoporosis.Methods：28 Cases（28 vertebrae） were treated by PKP.Patients were evaluated with a visual analog scale（VAS） preoperatively and postoperatively.The rate of anterior vertebrae height also be compared preoperatively and postoperatively.Result：The mean VAS decreased and the rate of anterior vertebral height increased significantly from Preoperatively to postoperatively.The average duration of the follow-up was 12.5 months（6 to 18 months）.Pulmonary embolism and symptomatic cement extravasation after the PKP were not observed.There were 2 cases with asymptomatic cement extravasation postoperatively.Conclusions：Elderly patients with symptomatic VCFs had rapid,significant,and sustained improvements in back pain,back function,and quality of life following percutaneous kyphoplasty.
出处
《实用中西医结合临床》
2011年第4期10-11,共2页
Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine
