| 摘要: |
| 【摘要】 研究经皮穿刺椎体后凸成形术（PKP）治疗老年胸腰椎压缩性骨折的临床应用。方法 回顾分析该院2015年6月-2018年1月216例经PKP治疗的老年胸腰椎压缩性骨折患者的临床资料，所有患者均采用PKP进行治疗，通过评测术前术后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6%。结论 经皮穿刺椎体后凸成形术（PKP）手术时间短、微创、有效重建椎体高度，缓解疼痛，是治疗老年性胸腰椎压缩性骨折有效方法，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 |
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| Clinical efficacy of percutaneous kyphoplasty in management of thoracolumbarvertebral compression fracture in the elderly |
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谷艳超
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湖北672中西医结合骨科医院
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| Abstract: |
| 【Abstract】 Objective To investigate the clinical application of percutaneous kyphoplasty (PKP) in the treatment of thoracolumbar compression fractures in the elderly. Method Clinical data of 216 elderly patients with thoracolumbar compression fractures treated with PKP from June 2015 to January 2018 in this hospital were retrospectively analyzed. All patients were treated with PKP, and the surgical effect was 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 Follow-up (15 ± 9) months , the patient pain were significantly reduced or disappeared, preoperative Cobb Angle (30.1 ± 3.8) °, vertebral height loss (12.1± 1.0) mm, VAS (8.58±1.22) points, at the end of the postoperative follow-up time (15.5-3.8) ° Cobb Angle, vertebral body height loss (3.2 ± 0.8) mm, VAS (2.6±0.7), 13 cases of postoperative sliding sideways, no obvious symptoms of 10 cases, 3 cases of symptoms of nerve stimulation, improve after symptomatic treatment, 6% incidence of sliding sideways.Conclusion Percutaneous kyphoplasty (PKP) is an effective method for the treatment of senile thoracolumbar compression fractures with short operative time, minimally invasive, effective vertebral height reconstruction and pain relief, which is worthy of clinical promotion |
| Key words: PKP Fracture of thoracic vertebra Lumbar vertebrae fracture Old man Osteoporosis |
