引用本文:谷艳超,胡胜利,谢 维,严 浩,陈 旺.经皮穿刺椎体后凸成形术治疗老年胸腰椎压缩性骨折的临床疗效分析[J].中国临床新医学,2019,12(4):410-414.
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经皮穿刺椎体后凸成形术治疗老年胸腰椎压缩性骨折的临床疗效分析
谷艳超,胡胜利,谢 维,严 浩,陈 旺
430000 武汉,湖北672中西医结合骨科医院脊柱一科
摘要:
[摘要] 目的 分析经皮穿刺椎体后凸成形术(PKP)治疗老年胸腰椎压缩性骨折(OVCF)的临床疗效。方法 回顾分析该院2015-06~2018-01经PKP治疗的216例OVCF患者的临床资料,所有患者均采用PKP进行治疗,通过测评术前术后Cobb角、椎体丢失高度、视觉模拟评分(VAS)以及术后侧漏发生率,评价手术效果。结果 随访(15±9)个月,患者疼痛均明显减轻或消失,术前Cobb角(30.1±3.8)°,椎体高度丢失(12.1±1.0)mm,VAS(8.58±1.22)分,术后末次随访Cobb角(15.5±3.8)°,椎体高度丢失(3.2±0.8)mm,VAS(2.6±0.7)分。术后发生侧漏13例,其中10例无明显症状,3例出现神经刺激症状,对症治疗后好转,侧漏发生率为6.0%。结论 PKP手术时间短、微创,有效重建椎体高度,缓解疼痛,是治疗老年性OVCF的有效方法,值得临床推广。
关键词:  经皮穿刺椎体后凸成形术  胸椎骨折  腰椎骨折  老年  骨质疏松
DOI:10.3969/j.issn.1674-3806.2019.04.14
分类号:R 683.2
基金项目:
Clinical efficacy of percutaneous kyphoplasty in treatment of obsteoporotic vertebral compression fractures in the elderly
GU Yan-chao, HU Sheng-li, XIE Wei, et al.
The First Department of Spine, Hubei 672 Integrated Chinese and Western Medicine Orthopaedic Hospital, Wuhan 430000, China
Abstract:
[Abstract] Objective To analyze clinical efficacy of percutaneous kyphoplasty(PKP) in treatment of osteoporotic vertebral compression fractures(OVCF) in the elderly. Methods The clinical data of 216 elderly patients with OVCF treated with PKP from June 2015 to January 2018 in our hospital were retrospectively analyzed. All the patients were treated with PKP, and the surgical effects were evaluated by evaluating the preoperative and postoperative Cobb Angle, vertebral body loss height, visual simulation score(VAS), and the incidence of postoperative lateral leakage. Results After a follow-up of (15±9)months, the patients′ pain was significantly reduced or disappeared, the preoperative Cobb Angle was (30.1±3.8) °. The preoprative vertebral height loss was (12.1±1.0)mm, and the preoprative VAS was (8.58±1.22)points. The Cobb Angle was (15.5±3.8) °, and the vertebral body height loss was (3.2±0.8)mm, and the VAS was (2.6±0.7)points at the last follow-up point. The postoperative sliding sideways occurred in 13 cases among whom 10 cases had no obvious symptoms, 3 cases had symptoms of nerve stimulation but they were improve after symptomatic treatment and the incidence of sliding sideways was 6.0%. Conclusion PKP is an effective method for the treatment of senile OVCF with short operative time, minimally invasive, effective vertebral height reconstruction and pain relief, which is worthy of clinical promotion.
Key words:  Percutaneous kyphoplasty(PKP)  Fracture of thoracic vertebra  Lumbar vertebrae fracture  Old age  Osteoporosis