CAJ | 학술논문

目的：探讨经皮椎体成形术治疗老年人骨质疏松椎体压缩性骨折的效果。方法采用C臂X线透视下经皮椎体成形术治疗骨质疏松性椎体压缩骨折患者56例，所有患者均统计术前、术后Cobb角、VAS评分，以及术后并发症。结果所有患者均顺利完成手术，手术时间30～55 min，术中注入骨水泥2～5 mL，56例患者术后疼痛均明显减少或消失。 VAS：术前（7．9±1．5）分，术后（2．3±1．2）分；Cobb角：术前（25．8±4．9）°，术后（12．6±3．6）°。术后3～7 d患者在腰围保护下可以下床活动，经过2～14个月的随访，所有腰椎骨折患者疼痛均消失，未发生神经损伤、肺栓塞、骨水泥椎管内渗漏等并发症。结论经皮椎体成形术治疗老年人骨质疏松性椎体压缩性骨折疗效显著，可在短时间内解除患者痛苦，恢复正常活动，是一种安全有效的治疗手段。
목적：탐토경피추체성형술치료노년인골질소송추체압축성골절적효과。방법채용C비X선투시하경피추체성형술치료골질소송성추체압축골절환자56례，소유환자균통계술전、술후Cobb각、VAS평분，이급술후병발증。결과소유환자균순리완성수술，수술시간30～55 min，술중주입골수니2～5 mL，56례환자술후동통균명현감소혹소실。 VAS：술전（7．9±1．5）분，술후（2．3±1．2）분；Cobb각：술전（25．8±4．9）°，술후（12．6±3．6）°。술후3～7 d환자재요위보호하가이하상활동，경과2～14개월적수방，소유요추골절환자동통균소실，미발생신경손상、폐전새、골수니추관내삼루등병발증。결론경피추체성형술치료노년인골질소송성추체압축성골절료효현저，가재단시간내해제환자통고，회복정상활동，시일충안전유효적치료수단。
Objective To investigate the effects of percutaneous vertebroplasty in the treatment of old symp -tomatic osteoporotic vertebral fractures in elderly .Methods 56 patients with osteoporotic vertebral fractures in elder-ly were selected and treated with percutaneous vertebroplasty .The age of the patients were from 67 to 83 years old, average of 72.5 years old.Among them,there were 15 male cases and 41 female cases.The Cobb angles,Visual Ana-logue Scale score ,and postoperative complications were measured .Results All the operations were successfully com-pleted which took the time from 30 min to 55min.2~5ml bone cement was used in the operation .Pains of 56 patients were significantly reduced or disappeared .VAS:(7.9 ±1.5) of pre-operation,VAS:(2.3 ±1.2) of post operation, Cobb angles:(25.8 ±4.9) of pre-operation,Cobb angles:(12.6 ±3.6) of post operation.The patients could move after operation with the protection of waist in 3 to 9 days.After the follow-up visit of 2 to 14 months,the pains of patients were disappear , no complications of nerves injury , pulmonary embolism and bone cement leakage of spinal canal.Conclusion It suggests that percutaneous vertebroplasty can relieve the pain and improve the life quality of the patients with old symptomatic osteoporotic vertebral fractures .It is worthy of clinical promotion .