CAJ | 학술논문

背景:经皮椎体成形应用于骨质疏松性椎体压缩骨折的治疗已取得很好的效果,但其远期的疗效及对患者的影响至今少有报道.目的:随访分析骨水泥充填椎体成形治疗骨质疏松性椎体压缩骨折的远期疗效.方法:选择骨质疏松性椎体压缩性骨折并行经皮椎体成形治疗的患者34例,对成形前、成形后1周和成形后平均6年进行目测类比评分及标准侧位X射线片上病变椎体高度、脊柱后凸畸形角进行测量与比较,观察成形后远期疗效.结果与结论:成形后1周及平均6年的脊柱后凸畸形角较成形前降低,成形后随访期内变化不明显.成形后椎体高度较成形前明显恢复(P < 0.01);成形后1周及成形后平均6年随访期内椎体高度变化不显著.成形后1周及成形后平均6年的目测类比评分较成形前降低明显(P < 0.01),但随时间延长,目测类比评分有升高趋势.以上各指标在成形后平均6年随访中基本维持稳定.结果证实,椎体成形治疗骨质疏松性椎体压缩骨折安全而有效,远期疗效肯定.
배경:경피추체성형응용우골질소송성추체압축골절적치료이취득흔호적효과,단기원기적료효급대환자적영향지금소유보도.목적:수방분석골수니충전추체성형치료골질소송성추체압축골절적원기료효.방법:선택골질소송성추체압축성골절병행경피추체성형치료적환자34례,대성형전、성형후1주화성형후평균6년진행목측류비평분급표준측위X사선편상병변추체고도、척주후철기형각진행측량여비교,관찰성형후원기료효.결과여결론:성형후1주급평균6년적척주후철기형각교성형전강저,성형후수방기내변화불명현.성형후추체고도교성형전명현회복(P < 0.01);성형후1주급성형후평균6년수방기내추체고도변화불현저.성형후1주급성형후평균6년적목측류비평분교성형전강저명현(P < 0.01),단수시간연장,목측류비평분유승고추세.이상각지표재성형후평균6년수방중기본유지은정.결과증실,추체성형치료골질소송성추체압축골절안전이유효,원기료효긍정.
BACKGROUND: Percutaneous vertebroplasty for osteoporotic vertebral compression fractures has achieved very good results, but its long-term efficacy as well as impact on patients has been rarely reported so far.OBJECTIVE: To investigate the long-term effect of vertebroplasty with bone cement on osteoporotic vertebral compression fractures through a follow-up.METHODS: Thirty-four patients with osteoporotic vertebral compression fractures who had undergone percutaneous vertebroplasty were recruited. Visual analogue scale scoring was measured and compared as well as lesioned vertebral height and kyphosis angle shown on lateral X-ray examination prior to, 1 week and 6 years after percutaneous vertebroplasty.RESULTS AND CONCLUSION: The kyphosis angle was improved 1 week and 6 years after percutaneous vertebroplasty, and it changed insignificantly during the follow-up period. The vertebral height was also improved significantly after percutaneous vertebroplasty (P < 0.01); however, there was no obvious variation in the vertebral height at 1 week and 6 years after percutaneous vertebroplasty. The visual analogue scale exhibited an improvement after percutaneous vertebroplasty (P < 0.01); however, with time going by, the scoring on the visual analogue scale had an increased tend. All the parameters remained stable and had no large fluctuations. It is proved that the percutaneous vertebroplasty is effective and safe to treat osteoporotic vertebral compression fractures with an excellent long-term effect.