| 摘要: |
| ［摘要］ 目的 观察经皮椎体成形术治疗骨质疏松性椎体压缩性骨折的临床效果。方法 回顾性分析2013-06～2014-11宜春市人民医院骨科采用经皮椎体成形术治疗骨质疏松性椎体压缩性骨折28例患者临床资料，其中胸椎8例，腰椎20例。对所有患者进行随访，采用视觉疼痛模拟量表(VAS)对患者进行疼痛评分，采用0swestry功能障碍指数(ODI)进行脊柱功能评分，术前、术后X线片测量病椎椎体高度及Cobb角恢复情况，并记录相关并发症。结果 28例患者术后随访12～23个月，平均15.8个月。患者视觉疼痛模拟评分由术前(8.7±3.5)分降至(1.9±2.2)分(P<0.01)，ODI由术前(68.4±13.3)%降低到末次随访时(10.1±6.6)%(P<0.01)。椎体前缘高度术前、术后分别为(58.1±15.4)%和(62.2±8.6)%，差异无统计学意义(P>0.05)。Cobb角术前、术后分别为(21.3±3.8)和(18.2±2.5)，差异无统计学意义(P>0.05)。结论 经皮椎体成形术能有效缓解疼痛，提高患者生活质量，是治疗骨质疏松性椎体压缩骨折安全、有效的方法。 |
| 关键词: 脊柱骨折 骨质疏松 经皮椎体成形术 |
| DOI：10.3969/j.issn.1674-3806.2015.12.04 |
| 分类号:R 683.2 |
| 基金项目:卫生部医药科技发展研究中心课题（编号：W2013ZT101） |
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| The clinical efficacy of percutaneous vertebroplasty for osteoporotic vertebral compression fractures |
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GAN Xin-rong, RAO Min-jie, ZHANG Gong-heng, et al.
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Department of Orthopaedics, the People′s Hospital of Yichun City, Jiangxi 336000, China
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| Abstract: |
| ［Abstract］ Objective To evaluate the clinical efficacy of percutaneous vertebroplasty(PVP) for the patients with osteoporotie vertebral compression fractures(OVCF).Methods From June 2013 to November 2014, 28 patients with OVCF were assigned to receive PVP. Of the 28 cases, there were 8 with thoracic vertebrae and 20 with lumbar vertebra. All the patients were followed up. The nerve functional restoration at the last follow-up was evaluated by ODI scores, and the height of vertebral body and the angle of Cobb were measured by accumulating the X-ray films of spine for measuring.Methods 28 patients were followed up for an average of 15.8 months(range from 12 to 23 months). VAS scores ascended from preoperative (8.7±3.5) to postoperative (1.9±2.2)(P<0.01). ODI scores ascended from preoperative (68.4±13.3)% to postoperative (10.1±6.6)%(P<0.01). The height of vertebral body ascended from preoperative (58.1±15.4)% to postoperative (62.2±8.6)%(P>0.05). Cobb of cervical spine ascended from preoperative (21.3±3.8) to postoperative (18.2±2.5)(P>0.05).Conclusion PVP can significantly reduce the pain and improve the quality of life, showing the preferable clinical benefits, which appears to be a useful and effective manner for the treatment of OVCF. |
| Key words: Spinal fractures Osteoporosis Vertebroplasty |
