四川医学
四川醫學
사천의학
SICHUAN MEDICAL JOURNAL
2015年
4期
444-447
,共4页
谢海洋%张映波%蔚芃%蒋成
謝海洋%張映波%蔚芃%蔣成
사해양%장영파%위봉%장성
经皮椎体后凸成形术%老年性骨质疏松%压缩性骨折
經皮椎體後凸成形術%老年性骨質疏鬆%壓縮性骨摺
경피추체후철성형술%노년성골질소송%압축성골절
percutaneous kyphoplasty%senile osteoporosis%compression fractures
目的:探讨经皮椎体后凸成形术治疗老年性骨质疏松压缩性骨折的临床疗效。方法从2009年4月至2014年7月应用经皮椎体后凸成形术治疗老年性胸腰椎骨质疏松压缩骨折93例,其中男性37例,女性56例,年龄在61岁到92岁之间,平均年龄在70.4岁。所选患者均为单节段椎体骨折,T91例、T103例、T117例、T1229例、L143例、L28例、L 32例。术前、术后3天及末次随访测量X线片伤椎前缘高度及Cobb角;采用疼痛视觉模拟量评分法( visual analogue scale,VAS)及Oswestry功能障碍指数( Oswestry disability index,ODI)进行综合评估手术疗效。结果所有患者随访3~12个月,平均随访10个月,伤椎前缘高度%由术前(68.54±5.45)恢复至术后(83.44±3.37), Cobb 角由术前(27.84±1.57)恢复至(10.71±1.73),术前后伤椎前缘高度及Cobb角相比,差异具有统计学意义(P<0.05),术后相比差异无统计学意义(P>0.05);术前VAS评分、ODI分别为(8.53±0.47)、(65.71± 4.27),术后3d分别为(2.46±0.62)、(22.71± 3.12),手术前后差异具有统计学意义(P<0.05),术后差异无统计学意义(P>0.05),结论 PKP术治疗老年性骨质疏松压缩性骨折,只要掌握手术适应症、经皮穿刺及骨水泥灌注技术,能有效缓解疼痛,能完全或部分矫正畸形,创伤小、安全可靠。
目的:探討經皮椎體後凸成形術治療老年性骨質疏鬆壓縮性骨摺的臨床療效。方法從2009年4月至2014年7月應用經皮椎體後凸成形術治療老年性胸腰椎骨質疏鬆壓縮骨摺93例,其中男性37例,女性56例,年齡在61歲到92歲之間,平均年齡在70.4歲。所選患者均為單節段椎體骨摺,T91例、T103例、T117例、T1229例、L143例、L28例、L 32例。術前、術後3天及末次隨訪測量X線片傷椎前緣高度及Cobb角;採用疼痛視覺模擬量評分法( visual analogue scale,VAS)及Oswestry功能障礙指數( Oswestry disability index,ODI)進行綜閤評估手術療效。結果所有患者隨訪3~12箇月,平均隨訪10箇月,傷椎前緣高度%由術前(68.54±5.45)恢複至術後(83.44±3.37), Cobb 角由術前(27.84±1.57)恢複至(10.71±1.73),術前後傷椎前緣高度及Cobb角相比,差異具有統計學意義(P<0.05),術後相比差異無統計學意義(P>0.05);術前VAS評分、ODI分彆為(8.53±0.47)、(65.71± 4.27),術後3d分彆為(2.46±0.62)、(22.71± 3.12),手術前後差異具有統計學意義(P<0.05),術後差異無統計學意義(P>0.05),結論 PKP術治療老年性骨質疏鬆壓縮性骨摺,隻要掌握手術適應癥、經皮穿刺及骨水泥灌註技術,能有效緩解疼痛,能完全或部分矯正畸形,創傷小、安全可靠。
목적:탐토경피추체후철성형술치료노년성골질소송압축성골절적림상료효。방법종2009년4월지2014년7월응용경피추체후철성형술치료노년성흉요추골질소송압축골절93례,기중남성37례,녀성56례,년령재61세도92세지간,평균년령재70.4세。소선환자균위단절단추체골절,T91례、T103례、T117례、T1229례、L143례、L28례、L 32례。술전、술후3천급말차수방측량X선편상추전연고도급Cobb각;채용동통시각모의량평분법( visual analogue scale,VAS)급Oswestry공능장애지수( Oswestry disability index,ODI)진행종합평고수술료효。결과소유환자수방3~12개월,평균수방10개월,상추전연고도%유술전(68.54±5.45)회복지술후(83.44±3.37), Cobb 각유술전(27.84±1.57)회복지(10.71±1.73),술전후상추전연고도급Cobb각상비,차이구유통계학의의(P<0.05),술후상비차이무통계학의의(P>0.05);술전VAS평분、ODI분별위(8.53±0.47)、(65.71± 4.27),술후3d분별위(2.46±0.62)、(22.71± 3.12),수술전후차이구유통계학의의(P<0.05),술후차이무통계학의의(P>0.05),결론 PKP술치료노년성골질소송압축성골절,지요장악수술괄응증、경피천자급골수니관주기술,능유효완해동통,능완전혹부분교정기형,창상소、안전가고。
Objective To evaluate the clinical efficacy of percutaneous kyphoplasty treatment of senile osteoporosis com-pression fractures. Methods From April 2009 to June 2014 percutaneous kyphoplasty treatment of senile osteoporotic thoracolum-bar compression fracture 135 cases,of which 59 males and 66 females,aged between 61 years to 92 years,with an average age of 76. 4 years. 3-month follow-up time 12 months, an average about ten months, Thoracolumbar spine X-rays taken, measuring the height of the vertebral injury,According pain visual analog scale(visual analogue scale,VAS),Postoperative VAS values before surgery for pain relief is calculated to assess the situation. Results Compared with preoperative difference was statistically signifi-cant( P<0. 05 ) postoperative VAS score, deformity correction, Cobb 'angle change and so on. Conclusion Percutaneous ky-phoplasty is a minimally invasive treatment of senile osteoporotic thoracolumbar compression fracture,good clinical efficacy,patients tend to receive treatment. Which has a shorter operative time,high safety factor,can quickly relieve the suffering of patients,elderly patients avoid open surgery or conservative treatment due to prolonged bed rest and a series of complications,early ambulation after surgery patients can improve their living quality advantages.