中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
10期
22-23
,共2页
骨质疏松脊柱压缩骨折%老年%球囊扩张椎体后凸成形术%临床疗效
骨質疏鬆脊柱壓縮骨摺%老年%毬囊擴張椎體後凸成形術%臨床療效
골질소송척주압축골절%노년%구낭확장추체후철성형술%림상료효
Osteoporotic vertebral compression fractures%Elderly%Kyphoplasty%Clinical effect
目的 探讨球囊扩张椎体后凸成形术在老年骨质疏松脊柱压缩骨折中的应用情况.方法 抽取2011年11月至2013年12月驻马店市159医院治疗的老年骨质疏松脊柱压缩骨折患者38例作为研究对象,入院后均行球囊扩张椎体后凸成形术治疗,观察其疼痛程度和椎体高度的变化情况.结果 术前无痛和轻度疼痛的发生率较术后低,中度疼痛和重度疼痛的发生率较术后高,差异均有统计学意义(P＜0.05).术后骨折椎体前缘丢失高度、骨折椎体中部丢失高度、Cobb角分别为(4.27±1.43) mm、(3.25±0.99) mm、(9.16±2.26)°,均较术前低,差异均有统计学意义(P＜0.05).随访半年,本研究38例患者均未出现骨水泥渗漏、椎管狭窄、呼吸异常等并发症.结论 采用球囊扩张椎体后凸成形术治疗老年骨质疏松脊柱压缩骨折患者,不仅能够降低其疼痛程度,还能够改善其椎体受损症状,值得推广应用.
目的 探討毬囊擴張椎體後凸成形術在老年骨質疏鬆脊柱壓縮骨摺中的應用情況.方法 抽取2011年11月至2013年12月駐馬店市159醫院治療的老年骨質疏鬆脊柱壓縮骨摺患者38例作為研究對象,入院後均行毬囊擴張椎體後凸成形術治療,觀察其疼痛程度和椎體高度的變化情況.結果 術前無痛和輕度疼痛的髮生率較術後低,中度疼痛和重度疼痛的髮生率較術後高,差異均有統計學意義(P＜0.05).術後骨摺椎體前緣丟失高度、骨摺椎體中部丟失高度、Cobb角分彆為(4.27±1.43) mm、(3.25±0.99) mm、(9.16±2.26)°,均較術前低,差異均有統計學意義(P＜0.05).隨訪半年,本研究38例患者均未齣現骨水泥滲漏、椎管狹窄、呼吸異常等併髮癥.結論 採用毬囊擴張椎體後凸成形術治療老年骨質疏鬆脊柱壓縮骨摺患者,不僅能夠降低其疼痛程度,還能夠改善其椎體受損癥狀,值得推廣應用.
목적 탐토구낭확장추체후철성형술재노년골질소송척주압축골절중적응용정황.방법 추취2011년11월지2013년12월주마점시159의원치료적노년골질소송척주압축골절환자38례작위연구대상,입원후균행구낭확장추체후철성형술치료,관찰기동통정도화추체고도적변화정황.결과 술전무통화경도동통적발생솔교술후저,중도동통화중도동통적발생솔교술후고,차이균유통계학의의(P＜0.05).술후골절추체전연주실고도、골절추체중부주실고도、Cobb각분별위(4.27±1.43) mm、(3.25±0.99) mm、(9.16±2.26)°,균교술전저,차이균유통계학의의(P＜0.05).수방반년,본연구38례환자균미출현골수니삼루、추관협착、호흡이상등병발증.결론 채용구낭확장추체후철성형술치료노년골질소송척주압축골절환자,불부능구강저기동통정도,환능구개선기추체수손증상,치득추엄응용.
Objective To investigate the application of balloon kyphoplasty in osteoporotic vertebral compression fracture paitients.Methods Thirty-eight patients with osteoporotic vertebral compression fractures were selected as the research objects from 2011 November to 2013 December in our hospital.All the patients were treated with balloon kyphoplasty.The changes of pain degree and height of vertebral body were observed.Results The preoperative pain and mild pain incidence was low than postoperative,moderate pain and severe pain incidence was high than postoperative the differences were statistically significant (P ＜ 0.05).Postoperative fracture of anterior vertebral height loss,loss of vertebral height,Cobb angle central were(4.27 ± 1.43) mm,(3.25 ±0.99) mm,(9.16 ±2.26) ° were low,the differences were statistically significant (P ＜ 0.05).Half a year of follow-up,bone method for making cement leakage,spinal canal stenosis,respiratory abnormalities were not occurred in this group of 38 patients.Conclusions Balloon kyphoplasty for aged osteoporotic vertebral compression fracture patients,not only can reduce the degree of pain,but also can improve the symptoms of vertebral injury,so it is worthy popularization and application.
