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1、158中國(guó)骨質(zhì)疏松雜志 2002年5月第8卷第2期 ChinJOsteoporos,May.2002,Vol8,No.2·臨床研究·經(jīng)皮穿刺椎體成形術(shù)治療骨質(zhì)疏松椎體
壓縮骨折陸軍 張貴祥 趙海濤 石梅 韓良甫【摘要】 目的 確定經(jīng)皮穿刺椎體成形術(shù)在治療疼痛性骨質(zhì)疏松脊柱壓縮骨折中的效用。方法 2年內(nèi)15例有1～6個(gè)月背部、腰部疼痛伴行動(dòng)障礙需止痛藥治療患者(男5人、女10人),年齡58～81歲,經(jīng)臨床、CT及MRI評(píng)價(jià)為骨質(zhì)疏松椎體壓縮且近期有進(jìn)展,在CT引導(dǎo)下完成經(jīng)皮穿刺椎體成形術(shù)22例次。治療效果采用Huskisson止痛視覺(jué)評(píng)分法評(píng)估。結(jié)果 13例患者(8617
2、%)在24h內(nèi)疼痛緩解,12例停用止痛藥,余下的2例有輕微疼痛好轉(zhuǎn)(1313%)。1例患者3個(gè)月后由于相鄰椎體出現(xiàn)新的壓縮而疼痛復(fù)發(fā),二次治療好轉(zhuǎn)。結(jié)論 經(jīng)皮穿刺椎體成形術(shù)用于骨質(zhì)疏松椎體壓縮是一種微創(chuàng)操作,可以立即緩解疼痛并使患者很快恢復(fù)運(yùn)動(dòng),是一種有價(jià)值的治療骨質(zhì)疏松壓縮骨折的方法?！娟P(guān)鍵詞】 經(jīng)皮穿刺; 椎體成形術(shù); 骨質(zhì)疏松; 椎體壓縮Treatmentofosteoporoticvertebralcompressionfracturesbypercutaneousvertebroplasty LUJun,ZHANGGuixiang,ZHAOHaitao,eta
3、l.DepartmentofRadiotherapy,XijingHospital,FourthMilitaryMedicalUniversity,Xi’an710032,China【Abstract】 Objective Todeterminetheefficacyofpercutaneousvertebroplasty(PVP)intreatingpain2fulosteoporoticvertebralcompressionfractures.Methods Fifteencasesofvertebralcompressionfracturewere
evalua
4、tedwithCTandMRItodetermineosteoporoticoriginandrecentevolution.Twenty2twopercutaneousverte2
broplastieswereperformedusingCTguidance.Thefifteenpatientsincludedinthestudy(5men,10women;58
-81yearsold)hadhadpainforonetosixmonthsthathinderedambulationandrequiredtreatmentwithnarcotic
drugs.The
5、analogicvisualscaleofHuskissonwasusedforpaininscoringassessment.Results In13patients
(8617%),painreliefwascompletewithin24hoursafterbonecementinjection.Analgesicadministrationwas
stoppedin12patients.Painreliefwasslightintheother2patients.Inthelastpatient,painrecurredthreemonthsafterPVPbe
6、causeofanewacutecollapseofanadjacentvertebra.ItwasrelievedbyasecondPVP.
Conclusion Vertebroplastyforthetreatmentofosteoporoticvertebralcompressionfractureisaminimallyinva2
siveprocedurethatprovidesimmediatepainreliefandenablesthepatientstobecomequicklymobile.PVPisa
goodmethodtotreatosteo
7、poroticvertebralcollapse.【Keywords】 Percutaneous; Vertebroplasty; Osteoporosis; Vertebralbodycompression 隨著人口老齡化,患骨質(zhì)疏松椎體壓縮骨折的老齡人口在增加,一些長(zhǎng)期應(yīng)用皮質(zhì)醇的患者也易材料和方法發(fā)生骨折。這些骨折常常引起持續(xù)的有時(shí)極度的疼11臨床資料痛,明顯地?fù)p害了運(yùn)動(dòng)能力和生存質(zhì)量。近年來(lái),經(jīng)1999年3月～2001年3月,筆者對(duì)15例(10例皮穿刺椎體成形術(shù)已經(jīng)有很大的發(fā)展,被廣泛地用女,5例男,年齡58～81歲)22個(gè)部位
