摘要
目的 探讨椎体成形术 (PVP)在治疗骨质疏松性压缩性骨折 (OVCF)中的作用。方法 2 2例骨质疏松性压缩性骨折患者接受了椎体成形术。患者均有明显胸背部疼痛 ,其中 12例失去活动功能。在X线透视引导下 ,经单侧或双侧椎弓根入路PVP ,PMMA注入量为 3～ 8ml,平均 6ml,完成 2 6个椎体成形术。术后患者随访 3～ 18个月 ,平均 7个月。结果 2 2例中 ,2 0例疼痛改善 ,有效率 90 .91% ,疼痛缓解时间为术后 1～ 5天 ,平均 2 .7天。随访观察止痛效果持久。 1个椎体术中出现骨水泥溢入椎旁静脉丛 ,3个椎体骨水泥溢入椎间盘 ,3个椎体骨水泥溢入椎旁软组织 ,无溢入椎间孔和椎管内。结论 椎体成形术为骨质疏松压缩性骨折经保守治疗无效患者提供了一种安全、微创。
Objective To evaluate the role of percutaneous vertebroplasty in treatment of osteoporotic vertebral collapse fractures. Methods Twenty two patients underwent percutaneous vertebroplasty. All patients suffered from persistent severe back and thoracic pain, 12 patients with incapacitating. Unilateral or bilateral transpedicular approach were performed under X ray fluoroscopic guidance. A total dosage of 3-8 ml bone cement was injected (mean, 6ml). Twenty six vertebroplasty were performed. All patients were follow up for 3-18 months (mean 7 months) post operation. Results Partial or complete relief of pain was obtained in all patients within 1-5 days (mean, 2.7 days) after the procedure. Follow up observation showed analgesic effect was maintained and prolonged. There were 1 venous leak, 3 intradiskal leaks, 3 paravertebral soft tissue leaks, but did not cause any severe complications. Conclusion percutaneous vertebroplasty was a safe,effective and minimally invasive procedure to treat osteoporotic vertebral collapse fractures.
出处
《中国医学影像技术》
CSCD
2004年第5期745-747,共3页
Chinese Journal of Medical Imaging Technology
