CAJ | 학술논문

目的探讨经皮椎体后凸成形术治疗老年骨质疏松椎体压缩性骨折的临床疗效。方法回顾性分析54例采用经皮椎体后凸成形术治疗老年骨质疏松椎体压缩性骨折患者的早期临床效果和并发症情况，比较术前、术后伤椎高度平均恢复率、Cobb角、视觉模拟评分法（VAS）评分及生活质量评分法（ADL）评分。结果54例患者均顺利完成手术，47例获得6～24个月随访，平均随访时间为13．5个月。31患者术后疼痛即刻明显缓解，12例患者术后1周内腰背部棘旁两侧的肌肉仍有酸胀痛，予非甾体抗炎药处理症状逐步缓解，8周后症状均明显缓解或消失。4例患者在末次随访时仍有腰背痛，需口服镇痛药。术前与术后伤椎高度平均恢复率、Cobb角、VAS评分及ADL评分比较差异有统计学意义（P＜0．05）。结论经皮椎体成形术治疗老年骨质疏松椎体压缩性骨折具有微创、明显缓解或解除腰背痛、早期离床等特点。严格掌握适应证和手术技巧可获得有效而安全的临床结果。
목적탐토경피추체후철성형술치료노년골질소송추체압축성골절적림상료효。방법회고성분석54례채용경피추체후철성형술치료노년골질소송추체압축성골절환자적조기림상효과화병발증정황，비교술전、술후상추고도평균회복솔、Cobb각、시각모의평분법（VAS）평분급생활질량평분법（ADL）평분。결과54례환자균순리완성수술，47례획득6～24개월수방，평균수방시간위13．5개월。31환자술후동통즉각명현완해，12례환자술후1주내요배부극방량측적기육잉유산창통，여비치체항염약처리증상축보완해，8주후증상균명현완해혹소실。4례환자재말차수방시잉유요배통，수구복진통약。술전여술후상추고도평균회복솔、Cobb각、VAS평분급ADL평분비교차이유통계학의의（P＜0．05）。결론경피추체성형술치료노년골질소송추체압축성골절구유미창、명현완해혹해제요배통、조기리상등특점。엄격장악괄응증화수술기교가획득유효이안전적림상결과。
Objective To investigate the early clinical effects of percutaneous kyphoplasty in the treatment of age-related osteo-porotic vertebral compression fractures .Methods Retrospected 54 cases with osteoporotic verebral compression fractures were treated with PKP ,summarized early clinical effects and complications .analysis of preoperative and postoperative wound vertebral height average recovery rate ,Cobb Angle ,VAS scores and ADL scores .Results Operations in all the 54 cases were completed smoothly ,47 cases for 6 to 24 months follow-up(mean 13 .5 months) .postoperative pain in 31patients obtained remission immedi-ately ,1 week after operation ,12 cases with lower back pain and need the non-steroidal anti-inflammatory medications ,the symptoms remissed significantly or disappeared after 8 weeks postoperatively .At the last follow-up ,4 patients still had low back pain and need oral analgesics .Preoperative and postoperative wound vertebral height average recovery rate ,Cobb Angle ,VAS scores and ADL scores was statistically significant .Conclusion PKP is a minimally invasive ,effective and safe procedure that provides pain relief and stabilization of spinal stability and activities under the bed early ,and improves quality of life at the same time .Grasping the indi-cations Strictly and holding the surgical skills can be obtained clinical results efficiently and safely .