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《經(jīng)皮穿刺椎體成形術(shù)治療骨質(zhì)疏松性椎體壓縮性骨折不愈合.pdf》由會員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在應(yīng)用文檔-天天文庫。
1、醫(yī)學(xué)l臨床研究2014年6月第31卷第6期JClinRes，Jun．2014，Vol31，No6·論著·經(jīng)皮穿刺椎體成形術(shù)治療骨質(zhì)疏松性椎體壓縮性骨折不愈合唐朝陽張保亮肖東民姜德紅唐海軍(南華大學(xué)附屬永州市中心醫(yī)院脊柱外科，湖南永州425100)[摘要]【目的】探討經(jīng)皮穿刺椎體成形術(shù)(PVP)在骨質(zhì)疏松性椎體壓縮性骨折(OVCF)不愈合診治中的可行性和有效性?！痉椒?2009年5月至2013年5月，采用PVP治療0VCF不愈合患者7例，手術(shù)前后患者均行X線片、CT和MRI檢查。采用疼痛視覺模擬評分(VA
2、s)，椎體前緣高度變化(AH)和楔形成角(wA)評估手術(shù)效果。【結(jié)果】7例均順利完成手術(shù)，無嚴(yán)重并發(fā)癥發(fā)生。所有患者均獲隨訪，平均隨訪時間15．5(5～35)個月；術(shù)后疼痛明顯減輕或消失，疼痛VAS術(shù)前8．1O士1．5O分，術(shù)后d。為1．25土1．O4分，兩者比較差異有統(tǒng)計學(xué)意義(P0．05)。術(shù)后AH及WA較術(shù)前均無明顯改善(P>0．05)；末次隨訪與術(shù)后比較亦無明顯差異(P>0．05)?！窘Y(jié)論】PVP能明顯改善0VC
3、F不愈合引起的腰背部疼痛，對傷雄高度恢復(fù)無明顯影響。[關(guān)鍵詞]骨質(zhì)疏松；脊柱骨折／外科學(xué)；椎體成形術(shù)PercutaneousVertebroplastyforthe]i'eatmentofNonunionofOsteolmmticVertebralCompressionFractureTANGZha~yang，ZHANGBa~liang，XIAODong-min，al(DepartmentofSpinalSurgery，theCentralHospitalofYongzhouA}{tliatedtoNa
4、nhuaUniversity，Yongzhou425100，China[Abstract][Objective]Toexplorethefeasibilityandcliniealefficacyofpercutaneousvertebroplasty(PVP)inthediagnosisandtreatmentofnonunionofosteoporoticvertebralcompressionfracture(OVCF)．[Methods]Atotalof7patientswithnonunion
5、ofosteoporoticvertebra1fracturesundergoingPVPfromMay2009toMay2013wereanalyzedretr0spectively．Therewere2malesand5females．Themeanagewas72．5years(61～88years)．Thefracturevertebraewere3casesinT12，3casesinL1and1caseinL2．Thediseasedurationwas15——23months．Allpat
6、ientsreceivedX-rays，CTandMRIexamination．Thesurgicalresultwasevaluatedbyvisualanaloguescale(VAS)，anteriorvertebralheight(AH)andwedgeangle(WA)．[Results]Allpatientswereoperatedsuccessfullywithoutseverecomplications．Al1patientswerefolloweduDfor5～35months(mea
7、n15．5months)．Postoperativepainwasalleviatedobviously．PainVASbeforeandatd1afteroperationwas(8．10土1．50)and(1_25土1．04)respectively，andtherewassignificantdifferencebetweenthem(P<0．05)．TheVASatfina1followupwas(1．15±0．87)，buttherewasnosignificantdifferencebetw
8、eenthefinalfollowupandpost—operation(P>O．05)．Comparedwithbeforeoperation，AHandWAafteroperationhadnoobviousimprovement(P>0．05)．TherewasnosignificantdifferenceinAHandWAbetweenthefinalfol—lowupandpost—operation(P>0．05)．[Concl
