中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2010年
2期
216-218
,共3页
椎体压缩性骨折%经皮椎体后凸成形术%胸椎%腰椎%医院%社区
椎體壓縮性骨摺%經皮椎體後凸成形術%胸椎%腰椎%醫院%社區
추체압축성골절%경피추체후철성형술%흉추%요추%의원%사구
Vertebral compression fracture%Percutaneous kyphoplasty%Thoracil vertebrae%Lumbar vertebrae%Hospital%community
目的 探讨基层医院开展经皮椎体后凸成形术的临床意义和注意事项.方法 2006年1月-2008年8月,应用经皮椎体后凸成形术治疗老年胸腰椎椎体压缩性骨折52例57个椎体,并进行疗效分析和经验总结.结果 52例57个椎体均顺利完成手术,患者术后疼痛均明显缓解或消失;病变柏体X线及CT检查显示骨水泥充盈满意,37椎术后椎体高度基本恢复,20椎部分恢复;术后随访12～42个月,平均26个月,疼痛无加重或复发,术椎无再压缩现象.结论 经皮椎体后凸成形术治疗老年胸腰椎椎体压缩性骨折,具有疗效好、创伤小、并发症少以及操作简便等优点,有条件的基层医院应该积极开展应用.
目的 探討基層醫院開展經皮椎體後凸成形術的臨床意義和註意事項.方法 2006年1月-2008年8月,應用經皮椎體後凸成形術治療老年胸腰椎椎體壓縮性骨摺52例57箇椎體,併進行療效分析和經驗總結.結果 52例57箇椎體均順利完成手術,患者術後疼痛均明顯緩解或消失;病變柏體X線及CT檢查顯示骨水泥充盈滿意,37椎術後椎體高度基本恢複,20椎部分恢複;術後隨訪12～42箇月,平均26箇月,疼痛無加重或複髮,術椎無再壓縮現象.結論 經皮椎體後凸成形術治療老年胸腰椎椎體壓縮性骨摺,具有療效好、創傷小、併髮癥少以及操作簡便等優點,有條件的基層醫院應該積極開展應用.
목적 탐토기층의원개전경피추체후철성형술적림상의의화주의사항.방법 2006년1월-2008년8월,응용경피추체후철성형술치료노년흉요추추체압축성골절52례57개추체,병진행료효분석화경험총결.결과 52례57개추체균순리완성수술,환자술후동통균명현완해혹소실;병변백체X선급CT검사현시골수니충영만의,37추술후추체고도기본회복,20추부분회복;술후수방12～42개월,평균26개월,동통무가중혹복발,술추무재압축현상.결론 경피추체후철성형술치료노년흉요추추체압축성골절,구유료효호、창상소、병발증소이급조작간편등우점,유조건적기층의원응해적겁개전응용.
Objective To study the clinical significance of percutaneous kyphoplasty in basic hospitals and its points for attention.Methods The therapeutic effects of percutaneous kyphoplasty on senile vertebral compression fractures were analyzed in 52 patients (57 vertebral bodies).Results Surgeries were successfully completed in 52 patients (57 vertebral bodies).Pains were significantly eased or disappeared after surgeries.X-ray and CT showed satisfied bone cement filling,regained vertebral height in 37,partly regained in 20.Follow-up lasted 12～42 months,averaging 26 months.Pains did not increase or reoccur,without vertebral recompression.Conclusion Percutaneous kyphoplasty,easy to operate and with smaller traumas and fewer complications,is of good effect in treatment of senile vertebral compression fractures.It may be used in basic hospitals with good conditions.
