实用疼痛学杂志
實用疼痛學雜誌
실용동통학잡지
Pain Clinic Journal
2015年
3期
190-193
,共4页
骨质疏松%骨折,压缩性%椎体成形术
骨質疏鬆%骨摺,壓縮性%椎體成形術
골질소송%골절,압축성%추체성형술
Osteoporosis%Fracture,compression%Percutaneous vertebroplasty
目的 探讨经皮椎体成形术(PVP)治疗胸、腰椎新鲜椎体骨质疏松性压缩性骨折的近期疗效.方法 采用经椎弓根入路PVP治疗新鲜骨质疏松性胸、腰椎压缩性骨折58例,共67个椎体,随访期3个月,观察患者手术前后疼痛强度视觉模拟评分(VAS)、病变椎体前缘高度与并发症,评估PVP手术的疗效.结果 术后1周及3个月时VAS评分与术前比较有明显改善(P＜0.05),病变椎体前缘高度与术前相比无统计学差异(P＞0.05).全组未见脊髓神经功能障碍、感染、肺栓塞等并发症.结论 椎体成形术治疗骨质疏松性胸、腰椎压缩性骨折,近期疗效满意,但对椎体高度的恢复效果不明显.
目的 探討經皮椎體成形術(PVP)治療胸、腰椎新鮮椎體骨質疏鬆性壓縮性骨摺的近期療效.方法 採用經椎弓根入路PVP治療新鮮骨質疏鬆性胸、腰椎壓縮性骨摺58例,共67箇椎體,隨訪期3箇月,觀察患者手術前後疼痛彊度視覺模擬評分(VAS)、病變椎體前緣高度與併髮癥,評估PVP手術的療效.結果 術後1週及3箇月時VAS評分與術前比較有明顯改善(P＜0.05),病變椎體前緣高度與術前相比無統計學差異(P＞0.05).全組未見脊髓神經功能障礙、感染、肺栓塞等併髮癥.結論 椎體成形術治療骨質疏鬆性胸、腰椎壓縮性骨摺,近期療效滿意,但對椎體高度的恢複效果不明顯.
목적 탐토경피추체성형술(PVP)치료흉、요추신선추체골질소송성압축성골절적근기료효.방법 채용경추궁근입로PVP치료신선골질소송성흉、요추압축성골절58례,공67개추체,수방기3개월,관찰환자수술전후동통강도시각모의평분(VAS)、병변추체전연고도여병발증,평고PVP수술적료효.결과 술후1주급3개월시VAS평분여술전비교유명현개선(P＜0.05),병변추체전연고도여술전상비무통계학차이(P＞0.05).전조미견척수신경공능장애、감염、폐전새등병발증.결론 추체성형술치료골질소송성흉、요추압축성골절,근기료효만의,단대추체고도적회복효과불명현.
Objective To investigate the short-term effects of percutaneous vertebroplasty (PVP) in the treatment of osteoporotic vertebral compression fracture.Methods Fifty-eight patients (67 vertebrae) with thoracic and lumbar osteoporotic vertebral compression fracture were enrolled and treated by PVP.The patients were followed up 3 months.Visual analogue scale (VAS) and the height of anterior margin in compressive vertebral body were recorded pre-and postoperatively.Results VAS of back pain was improved significantly after the treatment than that before the treatment (P ＜ 0.05).The height of anterior margin in compressive vertebral body showed no statistical difference before and after the operation (P＞ 0.05).Conclusion Good short-term effects can be achieved with PVP for the treatment of thoracic and lumbar osteoporotic vertebral compression fracture, but with little effect in restoration of vertebral height.
