潍坊医学院学报
濰坊醫學院學報
유방의학원학보
Acta Academiae Medicinae Weifang
2015年
5期
347-348
,共2页
经皮椎体成形术%骨质疏松%胸腰椎骨折%神经损伤%后凸畸形
經皮椎體成形術%骨質疏鬆%胸腰椎骨摺%神經損傷%後凸畸形
경피추체성형술%골질소송%흉요추골절%신경손상%후철기형
Percutaneous vertebroplasty%Osteoporotic%Thoracolumbar vertebral fracture%Neurological deficit%Kyphotic deformity
目的 探讨经皮椎体成形术治疗无神经损伤及明显后凸畸形骨质疏松性胸腰椎骨折不愈合的临床效果. 方法回顾性分析2012年1月~2014年3月收治的15例骨质疏松性胸腰椎骨折不愈合但不合并神经损伤且后凸畸形<30°患者的临床资料,所有患者均采用经皮椎体成形术治疗,采用痛觉视觉模拟评分( VAS) 及脊柱ODI评分评估手术治疗效果. 结果 15例患者VAS术前评分为(7.4±1.5)分,术后2d 所有患者评分为(1.5±0.4)分,两者比较差异有统计学意义(P<0.05),术后3个月患者VAS评分为(1.9±0.6)分,与术后2d比较,差异无统计学意义(P>0.05). 15例患者术前脊柱ODI评分平均64.5%,术后3个月为30.8%,两者比较差异有统计学意义(P<0.05). 结论 经皮椎体成形术是一种治疗无神经损伤及明显后凸畸形骨质疏松性胸腰椎骨折不愈合的较好的方法.
目的 探討經皮椎體成形術治療無神經損傷及明顯後凸畸形骨質疏鬆性胸腰椎骨摺不愈閤的臨床效果. 方法迴顧性分析2012年1月~2014年3月收治的15例骨質疏鬆性胸腰椎骨摺不愈閤但不閤併神經損傷且後凸畸形<30°患者的臨床資料,所有患者均採用經皮椎體成形術治療,採用痛覺視覺模擬評分( VAS) 及脊柱ODI評分評估手術治療效果. 結果 15例患者VAS術前評分為(7.4±1.5)分,術後2d 所有患者評分為(1.5±0.4)分,兩者比較差異有統計學意義(P<0.05),術後3箇月患者VAS評分為(1.9±0.6)分,與術後2d比較,差異無統計學意義(P>0.05). 15例患者術前脊柱ODI評分平均64.5%,術後3箇月為30.8%,兩者比較差異有統計學意義(P<0.05). 結論 經皮椎體成形術是一種治療無神經損傷及明顯後凸畸形骨質疏鬆性胸腰椎骨摺不愈閤的較好的方法.
목적 탐토경피추체성형술치료무신경손상급명현후철기형골질소송성흉요추골절불유합적림상효과. 방법회고성분석2012년1월~2014년3월수치적15례골질소송성흉요추골절불유합단불합병신경손상차후철기형<30°환자적림상자료,소유환자균채용경피추체성형술치료,채용통각시각모의평분( VAS) 급척주ODI평분평고수술치료효과. 결과 15례환자VAS술전평분위(7.4±1.5)분,술후2d 소유환자평분위(1.5±0.4)분,량자비교차이유통계학의의(P<0.05),술후3개월환자VAS평분위(1.9±0.6)분,여술후2d비교,차이무통계학의의(P>0.05). 15례환자술전척주ODI평분평균64.5%,술후3개월위30.8%,량자비교차이유통계학의의(P<0.05). 결론 경피추체성형술시일충치료무신경손상급명현후철기형골질소송성흉요추골절불유합적교호적방법.
Objective To investigate the clinical efficacy of percutaneous vertebroplasty in the treatment of osteoporotic thoraco -lumbar vertebral fracture nonunion without neurological deficit and obvious kyphotic deformity .Methods From January 2012 to March 2014, the clinical data of 15 patients with nonunion of osteoporotic thoracolumbar vertebral fractures nonunion without neurological deficit and obvi -ous kyphotic deformity wereretrospective analyzed .All patients were treated by percutaneous vertebroplasty .The curative effect was evaluated by visual analogue scale ( VAS) and oswestry disability index ( ODI) .Results The VAS scores of 15 patients was 7.4±1.5 before operation (1.5±0.4) at the two days postoperatively ,there were significant difference between the two phase (P<0.05),and(1.9±0.6) after three months,the difference was no statistically significant (P>0.05).The average ODI score of 15 patients was 64.5%before operation,30.8%after three months,there were significant difference between the two phase (P<0.05).Conclusion Percutaneous vertebroplasty is an effec-tive in the treatment of osteoporotic thoracolumbar vertebral fracture nonunion without neurological deficit and obvious kyphotic deformity ,it is worthy of clinical application .
