CAJ | 학술논문

目的：探讨经皮椎体后凸成形术（PKP)在治疗老年骨质疏松性腰椎压缩性骨折的临床疗效。方法我院在2009年7月至2012年11月期间，共收治46例腰椎压缩性骨折患者，男17例，女29例；年龄55~82岁，平均年龄68.2岁；其中新鲜骨折39例，陈旧骨折7例；所有患者的椎体高度压缩25%~65%，均在C臂透视下行PKP治疗。结果患者均安全耐受手术，手术平均时间（45±15）min。未出现肺栓塞，脊髓或神经根损伤等并发症，术后患者疼痛均明显缓解。结论PKP作为一种新型微创技术，创伤小，操作简便，能够迅速缓解疼痛，改善患者生活质量，是治疗老年性骨质疏松性腰椎压缩性骨折的首选手术方式。
목적：탐토경피추체후철성형술（PKP)재치료노년골질소송성요추압축성골절적림상료효。방법아원재2009년7월지2012년11월기간，공수치46례요추압축성골절환자，남17례，녀29례；년령55~82세，평균년령68.2세；기중신선골절39례，진구골절7례；소유환자적추체고도압축25%~65%，균재C비투시하행PKP치료。결과환자균안전내수수술，수술평균시간（45±15）min。미출현폐전새，척수혹신경근손상등병발증，술후환자동통균명현완해。결론PKP작위일충신형미창기술，창상소，조작간편，능구신속완해동통，개선환자생활질량，시치료노년성골질소송성요추압축성골절적수선수술방식。
Objective?To investigate the percutaneous kyphoplasty (PKP) in the treatment of osteoporotic vertebral compression fractures clinical efifcacy. Method?In?our?hospital?in?July?2009?to?November?2012?were?treated?46?cases?of?patients?with?vertebral?compression?fractures,?17?males?and?29?females;?aged?55?to?82?years,?mean?age?68.2?years;?39?cases?of?fresh?fractures,?old?fracture;?all?patients?with?vertebral?height?compression?25%-65%?in?the?C-arm?fluoroscopic?PKP?treatment.?Results?The?patients?safely?tolerate?surgery,?the?mean?operative?time?of?(45±15)min.?Complications?such?as?pulmonary?embolism,?spinal?cord?or?nerve?root?injury,?postoperative?pain?in?patients?with?apparent?ease.?Conclusion?PKP?as?a?new?minimally?invasive?techniques,?minimally?invasive,?easy?to?operate,?can?quickly?relieve?pain?and?improve?the?quality?of?life?of?patients,?is?the?preferred?surgical?approach?for?the?treatment?of?senile?osteoporosis?lumbar?compression?fracture.