中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2010年
5期
585-586
,共2页
椎体成形术%骨折,压缩性
椎體成形術%骨摺,壓縮性
추체성형술%골절,압축성
Percutaneous vertebroplasty%Fractures,compression
目的 探讨经皮椎体成形术(PVP)治疗压缩性骨折的临床效果. 方法 应用经皮椎体成形术治疗骨质疏松性椎体压缩骨折患者80例,其中胸椎病变36例,腰椎病变44例,在C形臂X线机透视导向下,经皮穿刺病变椎体后注入3.0～6.5 ml骨水泥(平均4.9 ml).术毕患者保持仰卧6 h观察,抗感染治疗1～3 d并复查平片或CT.观察止痛效果有效率和并发症. 结果 治疗80例93个椎体,均行单侧穿刺,64例疼痛完全缓解,17例明显缓解,4例部分缓解.术后CT证实少量骨水泥渗漏11例,随访6～18个月,所有患者疼痛无反复,无严重并发症发生. 结论 PVP术治疗压缩性骨折不仅可以迅速缓解患者的疼痛,而且可长期提高患者的生活质量.
目的 探討經皮椎體成形術(PVP)治療壓縮性骨摺的臨床效果. 方法 應用經皮椎體成形術治療骨質疏鬆性椎體壓縮骨摺患者80例,其中胸椎病變36例,腰椎病變44例,在C形臂X線機透視導嚮下,經皮穿刺病變椎體後註入3.0～6.5 ml骨水泥(平均4.9 ml).術畢患者保持仰臥6 h觀察,抗感染治療1～3 d併複查平片或CT.觀察止痛效果有效率和併髮癥. 結果 治療80例93箇椎體,均行單側穿刺,64例疼痛完全緩解,17例明顯緩解,4例部分緩解.術後CT證實少量骨水泥滲漏11例,隨訪6～18箇月,所有患者疼痛無反複,無嚴重併髮癥髮生. 結論 PVP術治療壓縮性骨摺不僅可以迅速緩解患者的疼痛,而且可長期提高患者的生活質量.
목적 탐토경피추체성형술(PVP)치료압축성골절적림상효과. 방법 응용경피추체성형술치료골질소송성추체압축골절환자80례,기중흉추병변36례,요추병변44례,재C형비X선궤투시도향하,경피천자병변추체후주입3.0～6.5 ml골수니(평균4.9 ml).술필환자보지앙와6 h관찰,항감염치료1～3 d병복사평편혹CT.관찰지통효과유효솔화병발증. 결과 치료80례93개추체,균행단측천자,64례동통완전완해,17례명현완해,4례부분완해.술후CT증실소량골수니삼루11례,수방6～18개월,소유환자동통무반복,무엄중병발증발생. 결론 PVP술치료압축성골절불부가이신속완해환자적동통,이차가장기제고환자적생활질량.
Objective To study the method of percutaneous vertebroplasty and its clinical efficacy.Method 80 cases with osteoporotic vertebral compression fractures were treated by inoection of polymethyl methacrylate under DSA fluoroscopic guidance(36 cases with thoracic vertebra lesions,44 cases with lumbar vertebra lesions)The time of follow--up ranged from 6～18 months.Results The procedure was successful in all patients.Among 80 cases,64 cases experienced complete relief of pain,17 cases with conspicuous relief,4 cases with partial relief.CT scan showed leakage of PMMA in 11 patients and no clinical complication in others.Conclusion PVP may not only relieve pain of patients with osteoporotic vertebral compression fractures,but also improve their quality of life.
