中国医药
中國醫藥
중국의약
CHINA MEDICINE
2010年
5期
450-452
,共3页
椎体压缩骨折%球囊扩张椎体后凸成形术%骨质疏松
椎體壓縮骨摺%毬囊擴張椎體後凸成形術%骨質疏鬆
추체압축골절%구낭확장추체후철성형술%골질소송
Vertebral compression fracture%Kyphoplasty%Osteoporosis
目的 研究球囊扩张椎体后凸成形术治疗骨质疏松性椎体压缩性骨折的疗效.方法 我院2006年12月至2008年12月,采用球囊扩张椎体后凸成形术治疗骨质疏松性椎体压缩性骨折26例33个伤椎,均经单侧椎弓根置入可扩张球囊使骨折塌陷椎体复位,然后使用骨水泥充填椎体,观察术后症状改善及骨折复位情况.结果 随访5个月至2.5年,平均1.1年.平均疼痛视觉评分由术前(8.8±0.2)分到术后(2.1±0.2)分和最终随访(2.5±0.4)分,差异有统计学意义(P＜0.01);手术椎体前中柱平均高度由术前(12.7±0.4)mm到术后(22.0±0.5)mm和最终随访(21.0±0.5)mm,差异有统计学意义(P＜0.01);Cobb角平均由术前(23.2±0.6).到术后(11.1±0.4)°和最终随访(11.7±0.4)°,差异有统计学意义(P＜0.01).3例5个椎体发生骨水泥渗漏,2例出现邻近阶段椎体压缩性骨折,无其他严重并发症的发生.结论 球囊扩张椎体后凸成形术可有效恢复骨质疏松性椎体压缩性骨折椎体的高度,缓解疼痛,改善患者的功能,明显减少骨水泥的渗漏,是一种安全、有效的治疗方法.
目的 研究毬囊擴張椎體後凸成形術治療骨質疏鬆性椎體壓縮性骨摺的療效.方法 我院2006年12月至2008年12月,採用毬囊擴張椎體後凸成形術治療骨質疏鬆性椎體壓縮性骨摺26例33箇傷椎,均經單側椎弓根置入可擴張毬囊使骨摺塌陷椎體複位,然後使用骨水泥充填椎體,觀察術後癥狀改善及骨摺複位情況.結果 隨訪5箇月至2.5年,平均1.1年.平均疼痛視覺評分由術前(8.8±0.2)分到術後(2.1±0.2)分和最終隨訪(2.5±0.4)分,差異有統計學意義(P＜0.01);手術椎體前中柱平均高度由術前(12.7±0.4)mm到術後(22.0±0.5)mm和最終隨訪(21.0±0.5)mm,差異有統計學意義(P＜0.01);Cobb角平均由術前(23.2±0.6).到術後(11.1±0.4)°和最終隨訪(11.7±0.4)°,差異有統計學意義(P＜0.01).3例5箇椎體髮生骨水泥滲漏,2例齣現鄰近階段椎體壓縮性骨摺,無其他嚴重併髮癥的髮生.結論 毬囊擴張椎體後凸成形術可有效恢複骨質疏鬆性椎體壓縮性骨摺椎體的高度,緩解疼痛,改善患者的功能,明顯減少骨水泥的滲漏,是一種安全、有效的治療方法.
목적 연구구낭확장추체후철성형술치료골질소송성추체압축성골절적료효.방법 아원2006년12월지2008년12월,채용구낭확장추체후철성형술치료골질소송성추체압축성골절26례33개상추,균경단측추궁근치입가확장구낭사골절탑함추체복위,연후사용골수니충전추체,관찰술후증상개선급골절복위정황.결과 수방5개월지2.5년,평균1.1년.평균동통시각평분유술전(8.8±0.2)분도술후(2.1±0.2)분화최종수방(2.5±0.4)분,차이유통계학의의(P＜0.01);수술추체전중주평균고도유술전(12.7±0.4)mm도술후(22.0±0.5)mm화최종수방(21.0±0.5)mm,차이유통계학의의(P＜0.01);Cobb각평균유술전(23.2±0.6).도술후(11.1±0.4)°화최종수방(11.7±0.4)°,차이유통계학의의(P＜0.01).3례5개추체발생골수니삼루,2례출현린근계단추체압축성골절,무기타엄중병발증적발생.결론 구낭확장추체후철성형술가유효회복골질소송성추체압축성골절추체적고도,완해동통,개선환자적공능,명현감소골수니적삼루,시일충안전、유효적치료방법.
Objective To evalvate the efficacy of Kyphoplasty in the treatment of osteoperotic vertebral compression fractures.Methods From December 2006 to December 2008,26 cases with osteoporotic vertebral compressive fracture were treated with kyphoplasty.33 consecutive procedures were performed including single insertion of inflatable balloon through pedicle of vertebal arch to make fracture reduction and bone cement augmentation.Postoperative symptomatic improvement and fracture reduction were recorded and analyzed.Results The mean duration of follow up was 1.1 years(5 months～2.5 years).The mean VAS score improved from (8.8±0.2) preoperatively to (2.1±0.2) postoperatively and was (2.5±0.4) at the last follow up (P＜0.01).The height of anterior and middle column vertebra increased from (12.7±0.4)mm preoperatively to (22.0±0.5)mm postoperatively and was (21.0±0.5)mm at the last follow up (P＜0.01).Cobb angles were corrected from (23.2±0.6)° preoperatively to (11.1±0.4)° pestoperatively and was(11.7±0.4)° at the last follow up (P＜0.01).3 patient with 5 veterbra had cement leakage and 2 cases had fracture of the adjacent veterbra.Conclusions Kyphoplasty for the treatment of osteoporotic vertebral compression fracture can restore the heights of fractured vertebra,achieve immediate pain relief and functional improvement as well as minimize the incidence of cement leakage.Kyphoplasty is a safe and effective method for treating osteoperotic VCF.
