CAJ | 학술논문

　　目的通过观察椎体成形术对胸腰椎压缩性骨折及肿瘤的治疗效果，探讨椎体成形术的适用证，术前、术中的注意事项及对策。方法采用经皮椎体成形术治疗胸腰椎压缩性骨折及肿瘤107例135椎。结果术后早期疼痛的程度根据VAS评分与术前相比明显改善，差异显著（P＜0.01），得到随访半年以上的86例中VAS评分与术前相比仍有显著差异性（P＜0.01）。结论椎体成形术是一种较理想的治疗胸腰椎压缩性骨折的方法，对椎体良性病变治疗及恶性肿瘤的姑息治疗效果亦较为显著。但在治疗过程中仍有一些经验及教训需引起大家的注意。
　　목적통과관찰추체성형술대흉요추압축성골절급종류적치료효과，탐토추체성형술적괄용증，술전、술중적주의사항급대책。방법채용경피추체성형술치료흉요추압축성골절급종류107례135추。결과술후조기동통적정도근거VAS평분여술전상비명현개선，차이현저（P＜0.01），득도수방반년이상적86례중VAS평분여술전상비잉유현저차이성（P＜0.01）。결론추체성형술시일충교이상적치료흉요추압축성골절적방법，대추체량성병변치료급악성종류적고식치료효과역교위현저。단재치료과정중잉유일사경험급교훈수인기대가적주의。
Objective Through observing the treatment effect of vertebroplasty in thoracic and lumbar vertebral compression fracture and tumor ,to find out the best indications and some key point and experience in vertebroplasty. Methods 107 cases, 135 throcic and lumbar fracture or tumors were treated with percutaneous vertebroplasty. Results The results of early postoperative pain relief according to VAS score compared with preoperative have significant difference (P<0.01), were followed up for more than half a year in 86 patients with VAS scores compared with preoperative still has significant difference (P<0.01). Conclusion Vertebroplasty is an ideal treatment of thoracolumbar compression fracture of vertebral benign lesion methods, treatment and palliative therapy for malignant tumors is more significant. But in the course of treatment still has some experience and lessons need attention.