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骨质疏松椎体压缩性骨折采用椎体成形术治疗的临床观察
http://www.100md.com 2011年4月1日 《中国中医药咨讯》 2011年第7期
骨质疏松椎体压缩性骨折采用椎体成形术治疗的临床观察

     【摘要】目的:观察骨质疏松椎体压缩性骨折采用椎体成形术治疗的临床疗效。方法:选取一组48例骨质疏松椎体压缩性骨折患者行经皮椎体成形术(PVP),术前及术后3d进行疼痛视觉评分和活动能力评分,拍摄X线检查骨折复位情况,测量Cobb角;随访期间观察患者疼痛缓解,并分析骨水泥渗漏等并发症。结果:视觉模拟评分(VAS评分)和Cobb角术前与术后比较,差异均有统计学意义。所有患者腰背痛明显好转。随访一年,腰背痛无复发。发生骨水泥漏2例,未见其他并发症发生。Cobb角无明显改变,椎体高度未见丢失。结论:经皮椎体成形术是一种有效、安全的治疗骨质疏松椎体压缩性骨折的方法,值得临床推广。

    【关键词】骨质疏松;椎体压缩性骨折;椎体成形术

    【Abstract】Objective:Clinical analysis of percutaneous vertebroplasty in treatment of osteoporotic vertebral compression fractures.Methods:A group of 48 patients underwent percutaneous vertebrop lasty(PVP) Visual analogue score(VAS) and mobility were evaluated 3 days before and after the operation.X-ray was taken of reduction conditions,and Cobb angle were measured.Relief of back pain,recovery of living ability and complications were observed in the follow-up of 12 months.Results:The results of Visual analogue score and Cobb angle were significantly different(P<0.05). The pain in the back disappeared generally.There was no recurrence of back pain nor any bss of height in the vertebrae involved. Bone cement leakage occurred in 2 cases,no other complications occurred.Conclusion:PVP is a safe and effective way to treat vertebra lcompression fractures in thoraco lumbar spine.It is worthy of clinical. ......

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