球囊擴(kuò)張椎體成形術(shù) [球囊擴(kuò)張椎體后凸成形術(shù)治療老年骨質(zhì)疏松脊柱壓縮骨折療效分析]

1、球囊擴(kuò)張椎體成形術(shù) 球囊擴(kuò)張椎體后凸成形術(shù)治療老年骨質(zhì)疏松脊柱壓縮骨折療效分析 摘要目的分析球囊擴(kuò)張椎體后凸成形術(shù)(pkp, percutaneons kyphoplasty)治療老年骨質(zhì)疏松脊柱壓縮骨折(ovcf, osteoporosis vertebral compression fractures)的療效和安全性。方法回顧本院行球囊擴(kuò)張椎體后凸成形術(shù)的37例56椎老年骨質(zhì)疏松脊柱壓縮骨折患者，根據(jù)術(shù)前和預(yù)后的疼痛得分(vas, visual analog scale)、椎體高度、cobbs角大小及術(shù)后并發(fā)癥評價臨床療效和安全性。結(jié)果患者術(shù)后vas較術(shù)前顯著降低(p005)，椎體或腰背部

2、疼痛明顯緩解或消失；末次隨訪側(cè)位x線片測得骨折椎體前、中部的高度恢復(fù)為原椎體高度的(72341936)%、(76212004)%，較術(shù)前(55261864)%、(57171913)%顯著升高(p005)，骨折復(fù)位良好；cobb角較術(shù)前23147顯著降低(p005)，骨折處脊柱后凸明顯得到矯正；患者完成624個月隨訪，無感染、骨水泥滲漏、椎管狹窄加重、循環(huán)及呼吸系統(tǒng)障礙等嚴(yán)重并發(fā)癥。結(jié)論球囊擴(kuò)張椎體后凸成形術(shù)治療老年骨質(zhì)疏松性骨折可明顯緩解疼痛、恢復(fù)椎體高度和形態(tài)，且無嚴(yán)重并發(fā)癥，療效顯著，臨床安全。關(guān)鍵詞球囊擴(kuò)張；椎體后凸成形術(shù)；老年骨質(zhì)疏松脊柱壓縮骨折；療效；安全性effect analyz

3、e of balloon dilation percutaneous kyphoplasty for aged osteoporosis vertebral compression fracturesqin huaqing department of orthopedics, the peoples hospital of changle, weifang, shandong 262400，chinaabstractobjectiveto analyze the efficacy and safety of percutaneons kyphoplasty (pkp) in the treat

4、ment of aged osteoporosis vertebral compression fractures (ovcf) methods37 cases of ovcf (56 vertebrae) received from x to x and inflicted balloon dilation pkp were retrospectively analyzed, and the efficacy and safety were estimated through preoperative and postoperative indicators including the vi

5、sual analogue scale(vas)score, and the anterior and midline vertebral heights for fractured vertebrae, as well as cobb angle of the vertebrae. resultsthe postoperative patients vas score was significantly reduced than that of preoperation (p005), and the pain of suffers was relieved or disappeared o

6、bviously the rate of postoperative anterior and midline vertebral heights for fractured vertebrae were(72341936)% and(76212004)%, which were significantly recovered than preoperation(p005) the postoperative cobb angle was (17131), which was decreased significantly than preoperation(23147)(p005) all

7、patients were followed up for 624 months and none serious complication such as infections, bone cement leakage, spinal canal narrowing, circulatory and respiratory disorders occurred conclusionthe balloon dilation pkp is effective and safe to treat aged osteoporosis vertebral compression fractures w

8、hich can obviously relieve the pain and recover the shape and function of fractured vertebrae.key wordsballoon dilation；percutaneons kyphoplasty; aged osteoporosis vertebral compression fractures; efficacy;safety作者單位：262400山東省昌樂縣人民醫(yī)院骨二科骨質(zhì)疏松椎體壓縮性骨折(ovcf)是老年人常見疾病，壓縮性骨折導(dǎo)致脊柱進(jìn)行性畸形和生物力學(xué)改變，可引發(fā)進(jìn)一步骨折，傳統(tǒng)療法藥物鎮(zhèn)痛、開放性手術(shù)等，不能有效修