中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2015年
31期
4978-4982
,共5页
史新乐%陈宇翔%刘菲%赵小龙
史新樂%陳宇翔%劉菲%趙小龍
사신악%진우상%류비%조소룡
植入物%脊柱植入物%椎体成形术%压缩性骨折%疼痛%计算机体层摄影术
植入物%脊柱植入物%椎體成形術%壓縮性骨摺%疼痛%計算機體層攝影術
식입물%척주식입물%추체성형술%압축성골절%동통%계산궤체층섭영술
Vertebroplasty%Fractures,Compression%Pain
背景：近年来仅报道椎体成形对轻中度椎体压缩性骨折治疗，但很少报道椎体成形治疗严重椎体压缩性骨折类型如椎体塌陷研究。目的：评估经皮椎体成形治疗椎体严重压缩性骨折的有效性和影像学特点。方法：25例患者经历单个水平椎体压缩性骨折经皮椎体成形治疗。分析压缩椎体位置、压缩形式、塌陷程度、椎体成形前后脊椎后凸角和邻近椎间盘高度。结果与结论：60%(16/25)的患者累及胸腰段。塌陷椎体高度为原椎体高度的14%-30%，平均塌陷高度为5.17 mm或原椎体的22%。椎体成形前病灶驼背角度为0-33°(平均16°)，治疗后为12°。椎体成形前受累水平上邻近椎间盘高度为7.3 mm，邻近下一椎间盘高度为7.7 mm。椎体成形前目测类比评分显著高于椎体成形后，表明改善疼痛方面差异有显著性意义(P <0.015)。结果提示经皮椎体成形是治疗单个严重椎体压缩性骨折较为安全、有效的方法。
揹景：近年來僅報道椎體成形對輕中度椎體壓縮性骨摺治療，但很少報道椎體成形治療嚴重椎體壓縮性骨摺類型如椎體塌陷研究。目的：評估經皮椎體成形治療椎體嚴重壓縮性骨摺的有效性和影像學特點。方法：25例患者經歷單箇水平椎體壓縮性骨摺經皮椎體成形治療。分析壓縮椎體位置、壓縮形式、塌陷程度、椎體成形前後脊椎後凸角和鄰近椎間盤高度。結果與結論：60%(16/25)的患者纍及胸腰段。塌陷椎體高度為原椎體高度的14%-30%，平均塌陷高度為5.17 mm或原椎體的22%。椎體成形前病竈駝揹角度為0-33°(平均16°)，治療後為12°。椎體成形前受纍水平上鄰近椎間盤高度為7.3 mm，鄰近下一椎間盤高度為7.7 mm。椎體成形前目測類比評分顯著高于椎體成形後，錶明改善疼痛方麵差異有顯著性意義(P <0.015)。結果提示經皮椎體成形是治療單箇嚴重椎體壓縮性骨摺較為安全、有效的方法。
배경：근년래부보도추체성형대경중도추체압축성골절치료，단흔소보도추체성형치료엄중추체압축성골절류형여추체탑함연구。목적：평고경피추체성형치료추체엄중압축성골절적유효성화영상학특점。방법：25례환자경력단개수평추체압축성골절경피추체성형치료。분석압축추체위치、압축형식、탑함정도、추체성형전후척추후철각화린근추간반고도。결과여결론：60%(16/25)적환자루급흉요단。탑함추체고도위원추체고도적14%-30%，평균탑함고도위5.17 mm혹원추체적22%。추체성형전병조타배각도위0-33°(평균16°)，치료후위12°。추체성형전수루수평상린근추간반고도위7.3 mm，린근하일추간반고도위7.7 mm。추체성형전목측류비평분현저고우추체성형후，표명개선동통방면차이유현저성의의(P <0.015)。결과제시경피추체성형시치료단개엄중추체압축성골절교위안전、유효적방법。
BACKGROUND:Recent reports only concern vertebroplasty for mild to moderate vertebral compression fractures, but seldom address vertebroplasty for severe vertebral compression fractures such as vertebral colapse. OBJECTIVE:To evaluate the efficacy and imaging features of percutaneous vertebroplasty for severe vertebral compression fractures. METHODS:A total of 25 patients underwent single-level vertebroplasty for vertebral compression fractures. Imaging features were then analyzed including location, pattern of compression, extent of colapse, pre- and post kyphotic angle and adjacent disc height before and after vertebroplasty. RESULTS AND CONCLUSION:60% (16/25) patients involved the thoracolumbar junction. The height of colapsed vertebral body was 14%-30% of original vertebral body. The average height of colapse was 5.17 mm or 22% of original vertebral body. Kyphotic angle before vertebroplasty ranged from 0-33° (averagely 16°) with an average correction of 12° after vertebroplasty. Average disc height before vertebroplasty was 7.3 mm above and 7.7 mm below. Visual analogue scale score was significantly higher preoperatively than that postoperatively, showing significant difference in pain improvement (P< 0.015). These data suggest that percutaneous vertebroplasty is safe and effective in the treatment of single level severe vertebral compression fractures.
