摘要
目的探讨经皮椎体成形术(PVP)治疗骨质疏松性椎体压缩性骨折的临床疗效。方法对120例(145个椎体)老年骨质疏松性椎体压缩性骨折患者行经皮椎体成形术治疗,观察术后疼痛缓解情况,术前和术后3 d、1个月、3个月应用10分制视觉模拟评分(VAS)对患者疼痛进行评价。结果所有患者均获3个月随访,100例患者疼痛完全缓解(CR.),15例患者部分缓解(PR),5例无缓解,有效率为95.83%(CR+PR/总例数)。术前与术后各时间段比较,视觉模拟评分差异均有统计学意义(P<0.05),但术后各时间段差异无统计学意义(P>0.05)。结论经皮椎体成形术具有显著的临床止痛效果和创伤小的优点,是治疗老年骨质疏松性椎体压缩性骨折安全有效的治疗方法。
Objective To investigate the clinical eitlcacies ofpercutaneous vertebroplasty （PVP） in patients with osteoporotic vertebral compression fractures. Methods One hundred and twenty eldely patients （ 145 vertebrae） of osteoporetic vertebral compression fractures of spine were treated with percutaneous vertebroplasty, relief of postop- erative pain was observed. The amount of pain reduction was followed and quantified using the visual analog scale （VAS） before surgery, 3 d, 1 month, 3 months after operations. Results All patients were followed up for 3 months, pain was completely relieved in 100 cases, partial relieved in 15 cases, unrelieved in 5 cases. Effective rate was 95. 83%. The preoperative visual analogue scale was statistically significant when compared to postoperative time （P 〈 0. 05）, but no significant difference was shown bewteen postoperative time （P 〉 0. 05）. Conclusion PVP is a safe and effective treatment in patients with esteoporotic vertebral compression fractures,which is effective in pain relief.
出处
《中国临床新医学》
2011年第11期1013-1015,共3页
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
基金
广西贵港市科学研究与技术开发计划项目(编号:贵科攻1004013)
关键词
经皮椎体成形术
椎体压缩性骨折
骨质疏松症
Percutaneous vertcbroplasty
Vertebral compression fractures
Osteoporosis
