中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2013年
43期
7540-7545
,共6页
刘涛%冯纪川%卓瑞立%强晓军
劉濤%馮紀川%卓瑞立%彊曉軍
류도%풍기천%탁서립%강효군
骨关节植入物%脊柱植入物%经皮穿刺球囊扩张椎体成形术%骨质疏松%重度椎体压缩骨折%椎体高度%骨水泥量%骨水泥渗漏%椎体%复位
骨關節植入物%脊柱植入物%經皮穿刺毬囊擴張椎體成形術%骨質疏鬆%重度椎體壓縮骨摺%椎體高度%骨水泥量%骨水泥滲漏%椎體%複位
골관절식입물%척주식입물%경피천자구낭확장추체성형술%골질소송%중도추체압축골절%추체고도%골수니량%골수니삼루%추체%복위
vertebroplasty%osteoporosis%fractures,compression
背景：重度椎体压缩性骨折，因其穿刺及复位困难，被认为是椎体成形及后凸成型的相对禁忌证。目的：探讨应用经皮穿刺球囊扩张椎体成形治疗重度椎体压缩骨折后的椎体复位。方法：重度椎体压缩骨折30例(42椎)，患椎压缩程度为75%-83%。在数字减影血管造影引导下经皮穿刺进针，体位复位结合局部使用球囊扩张，复位满意后注入骨水泥。结果与结论：30例患者顺利完成治疗。椎体前缘、中部及后缘平均高度分别由治疗前(0.48±0.17) cm、(0.83±0.23) cm和(2.44±0.33) cm，增至术中(0.71±0.22) cm、(1.21±0.25) cm和(2.44±0.33) cm，治疗后椎体前缘、中部高度显著高于治疗前。治疗后目测类比评分显著低于治疗前。结果说明经皮穿刺球囊扩张椎体成形对重度骨质疏松椎体压缩骨折患者能有效缓解疼痛，恢复椎体高度。
揹景：重度椎體壓縮性骨摺，因其穿刺及複位睏難，被認為是椎體成形及後凸成型的相對禁忌證。目的：探討應用經皮穿刺毬囊擴張椎體成形治療重度椎體壓縮骨摺後的椎體複位。方法：重度椎體壓縮骨摺30例(42椎)，患椎壓縮程度為75%-83%。在數字減影血管造影引導下經皮穿刺進針，體位複位結閤跼部使用毬囊擴張，複位滿意後註入骨水泥。結果與結論：30例患者順利完成治療。椎體前緣、中部及後緣平均高度分彆由治療前(0.48±0.17) cm、(0.83±0.23) cm和(2.44±0.33) cm，增至術中(0.71±0.22) cm、(1.21±0.25) cm和(2.44±0.33) cm，治療後椎體前緣、中部高度顯著高于治療前。治療後目測類比評分顯著低于治療前。結果說明經皮穿刺毬囊擴張椎體成形對重度骨質疏鬆椎體壓縮骨摺患者能有效緩解疼痛，恢複椎體高度。
배경：중도추체압축성골절，인기천자급복위곤난，피인위시추체성형급후철성형적상대금기증。목적：탐토응용경피천자구낭확장추체성형치료중도추체압축골절후적추체복위。방법：중도추체압축골절30례(42추)，환추압축정도위75%-83%。재수자감영혈관조영인도하경피천자진침，체위복위결합국부사용구낭확장，복위만의후주입골수니。결과여결론：30례환자순리완성치료。추체전연、중부급후연평균고도분별유치료전(0.48±0.17) cm、(0.83±0.23) cm화(2.44±0.33) cm，증지술중(0.71±0.22) cm、(1.21±0.25) cm화(2.44±0.33) cm，치료후추체전연、중부고도현저고우치료전。치료후목측류비평분현저저우치료전。결과설명경피천자구낭확장추체성형대중도골질소송추체압축골절환자능유효완해동통，회복추체고도。
BACKGROUND:Due to the puncture and difficult reduction, severe vertebral compressive fracture is considered to be the relative contraindication of vertebroplasty and kyphoplasty. OBJECTIVE:To investigate the vertebra reduction after the treatment of severe vertebral compressive fractures with percutaneous kyphoplasty. METHODS:Thirty patients (42 vertebral bodies) with severe compressive fractures were included. The compressive rate of the affected vertebral bodies was 75%-83%. The direction of percutaneous puncture was guided under digital subtraction angiography, and then postural reduction and local kyphoplasty were performed. After satisfactory reduction, bone cement was injected. RESULTS AND CONCLUSION:Al the 30 patients tolerated procedure wel . The mean height of the anterior, mid and posterior vertebral body was improved from (0.48±0.17) cm, (0.83±0.23) cm and (2.44±0.33) cm preoperatively to (0.71±0.22) cm, (1.21±0.25) cm and (2.44±0.33) cm respectively after operation. The postoperative height of the anterior, mid and posterior vertebral body was significantly higher than that before operation. The visual analogue scale score after treatment was significantly lower than that before operation. The results indicate that percutaneous kyphoplasty can ease pain, restore vertebral body height and improve quality of life of the patients with severe vertebral compressive fractures.
