中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2013年
28期
39-41,43
,共4页
赵智君%陈益果%邓玉海%黄平%陈浩%华晨曦%徐西东
趙智君%陳益果%鄧玉海%黃平%陳浩%華晨晞%徐西東
조지군%진익과%산옥해%황평%진호%화신희%서서동
经皮椎体成形术%骨质疏松症%骨折
經皮椎體成形術%骨質疏鬆癥%骨摺
경피추체성형술%골질소송증%골절
Percutaneous vertebroplasty%Osteoporosis%Fracture
目的:?探讨目前临床治疗老年椎体骨质疏松性骨折的有效治疗方法。方法?23例老年患者,局部皮肤软组织侵润麻醉后,C形臂X线透视下通过单侧椎弓根向椎体穿刺并注入骨水泥,恢复伤椎高度,稳定椎体,并对术后患者疼痛症状缓解程度进行统计学分析。结果?除6例患者在术后3d下床活动外,所有患者均在术后次日早期下床活动,术后疼痛均明显缓解或消失,随访1年未发现有胸腰背疼痛加剧及迟发性神经损伤表现。结论?经皮椎体成形术治疗老年椎体骨质疏松性骨折疗效肯定,提高了老年患者的生存质量,减少卧床并发症。
目的:?探討目前臨床治療老年椎體骨質疏鬆性骨摺的有效治療方法。方法?23例老年患者,跼部皮膚軟組織侵潤痳醉後,C形臂X線透視下通過單側椎弓根嚮椎體穿刺併註入骨水泥,恢複傷椎高度,穩定椎體,併對術後患者疼痛癥狀緩解程度進行統計學分析。結果?除6例患者在術後3d下床活動外,所有患者均在術後次日早期下床活動,術後疼痛均明顯緩解或消失,隨訪1年未髮現有胸腰揹疼痛加劇及遲髮性神經損傷錶現。結論?經皮椎體成形術治療老年椎體骨質疏鬆性骨摺療效肯定,提高瞭老年患者的生存質量,減少臥床併髮癥。
목적:?탐토목전림상치료노년추체골질소송성골절적유효치료방법。방법?23례노년환자,국부피부연조직침윤마취후,C형비X선투시하통과단측추궁근향추체천자병주입골수니,회복상추고도,은정추체,병대술후환자동통증상완해정도진행통계학분석。결과?제6례환자재술후3d하상활동외,소유환자균재술후차일조기하상활동,술후동통균명현완해혹소실,수방1년미발현유흉요배동통가극급지발성신경손상표현。결론?경피추체성형술치료노년추체골질소송성골절료효긍정,제고료노년환자적생존질량,감소와상병발증。
Objective?To?investigate?the?clinical?effectively?treatment?of?senile?osteoporotic?vertebral?fractures.?Methods?23?cases?of?elderly?patients,?skin?and?soft?tissue?inifltration?of?local?anesthesia?,?C-arm?X-ray?through?the?unilateral?pedicle?to?the?vertebral?puncture?and?injection?of?PMMA?to?restore?vertebral?height?,?stable?vertebral?body?,?and?postoperative?pain?symptom?relief?was?used?for?statistical?analysis.?Results?All?patients?in?the?postoperative?day?early?ambulation?,?postoperative?pain?was?signiifcantly?relieved?or?disappeared?,?But?6?patients?ambulation?after?3?days?of?operative,?and?was?not?found?to?have?a?follow-up?chest?and?back?pain?exacerbated?tardive?performance?of?nerve?injury?with?1-year?follow-up.?Conclusion?Percutaneous?vertebroplasty?treatment?of?senile?osteoporotic?vertebral?fractures?certainly?can?improve?the?quality?of?life?of?elderly?patients?and?reduce?the?complications?of?bed?rest?.