CAJ | 학술논문

目的：深入探讨经皮椎体成形术在对老年腰椎压缩性骨折的诊断和治疗。方法连续收集实施经皮椎体成形术的46例腰椎压缩性骨折患者。其中椎体一共有56个，同时进行临床观察和影像学的研究。结果经过经皮椎体成形术之后，46例腰椎压缩性骨折患者的疼痛都减轻，甚至有些已消失。在手术之后的一周内患者均能够下床活动。在经过6月的随访，其中有43例患者的疼痛消失，且无并发症出现，在经皮椎体成形术之后经过X线对椎体中的骨水泥进行检查，均发现椎体中的骨水泥均匀的分布，且没有泄漏的现象。结论经皮椎体成形术能够有效的为腰椎压缩性骨折患者减轻疼痛，并进一步稳定椎体，减少相关并发症的发生。因此经皮椎体成形术具有重要的临床价值。
목적：심입탐토경피추체성형술재대노년요추압축성골절적진단화치료。방법련속수집실시경피추체성형술적46례요추압축성골절환자。기중추체일공유56개，동시진행림상관찰화영상학적연구。결과경과경피추체성형술지후，46례요추압축성골절환자적동통도감경，심지유사이소실。재수술지후적일주내환자균능구하상활동。재경과6월적수방，기중유43례환자적동통소실，차무병발증출현，재경피추체성형술지후경과X선대추체중적골수니진행검사，균발현추체중적골수니균균적분포，차몰유설루적현상。결론경피추체성형술능구유효적위요추압축성골절환자감경동통，병진일보은정추체，감소상관병발증적발생。인차경피추체성형술구유중요적림상개치。
Objective In-depth study of percutaneous vertebroplasty in vertebral compression fractures in the elderly diagnosis and treatment. Methods Continuous collected from March 2012-June 2013 in the hospital during percutaneous vertebroplasty 46 cases of vertebral compression fractures. In which a total of 56 vertebrae, while clinical observation and imaging studies. Results After percutaneous vertebroplasty, 46 cases of vertebral compression fractures in patients with pain are reduced, and even some have disappeared. Within a week after the surgery patients were able to get out of bed. After a six-month follow-up of six months, of which 43 cases of patients with pain, and no complications in percutaneous vertebroplasty for vertebral elapsed after the X-ray inspection of the bone cement, were found in the vertebral body the bone cement evenly distributed, and no leakage phenomenon. Conclusion Percutaneous vertebroplasty can be effective for patients with vertebral compression fractures reduce pain and further stabilize the vertebral body and reduce associated complications. Percutaneous vertebroplasty therefore able to effectively secure the treatment of senile vertebral compression fractures, and has important clinical value.