椎体成形术治疗老年骨质疏松性椎体压缩性骨折疗效观察.pdfVIP

2012 年 12 月 生物骨科材料与 临床研 究 第 卷 第 期 ORTHOPAEDIC BIOMECHANICS MATERIALS AND CLINICAL STUDY . . 9 6 57 doi: 10.3969/j .issn. 1672-5972.2012.06.0 17 文章编号：swgk2012-05-0087 经验交流 椎体成形术治疗老年骨质疏松性椎体压缩性骨折疗效观察 叶银静 杨光乾 刘家素 叶峰 李让刚 [ ] 摘要 目的观察经皮椎体成形术治疗老年骨质疏松性椎体压缩性骨折的临床疗效。方法采用经皮椎体成形术和 经球囊扩张椎体成形术治疗老年骨质疏松性椎体压缩性骨折86 例，观察并分析其临床效果。结果在所治疗的86 例病例中，在术后6~48 小时内均有腰背部疼痛的缓解，有12 例 13 椎出现骨水泥渗漏，所有患者均无脊髓、神 经根损伤及静脉栓塞、肺栓塞等并发症的产生。随访2~8 个月，均未发现有新的骨折形成。结论 椎体成形术对 老年性骨质疏松性椎体压缩性骨折有良好的治疗效果。骨水泥渗漏是其主要并发症。 [ ] 关键词 骨质疏松性椎体压缩性骨折；椎体成形术；临床疗效 [ ] [ ] 中图分类号 R687.3 文献标识码 B Clinical efficacy of percutaneous vertebroplasty in treatment of senile osteoporotic compression fractures of vertebra Ye Yinj ing, YangGuangqian, Liu Jiasu, et al. Department of Orthopedics, People ′s Hospital of Tongliang, Chongqing Tongliang 402560, China [Abstract] Objective To evaluate clinical efficacy of percutaneous vertebroplasty ﹙PVP ﹚in treatment of senile osteop- orotic vertebral body compression fractures. Methods Clinical data of 86 patients with vertebral osteoporotic compression fractures treated with percutaneous vertebroplasty and percutaneous kyphoplasty were analyzed retrospectively. Results All patients had significant or complete relief with their low back pain 6~48 hours after the treatment. But there were bone cement leakage in 12 of them in vertebra.