微创治疗胸腰椎衰竭性骨折疗效分析
China Health Care & Nutrition(2017)
Abstract
目的 探讨经皮椎体成形术(percutaneous vertebroplasty,PVP)治疗胸腰椎骨质疏松性椎体衰竭骨折的临床效果.方法 经单侧椎弓根入路向椎体内穿针并注入骨水泥(聚甲基丙烯酸甲酯),手术前后疼痛程度应用视觉模拟分级法(visual analog scale,VAS)评分.结果 300例380个椎体PVP均获成功,手术时间20-90 min,平均35min.术后2周VAS(2.7±0.2)分,与术前(8 0±0.2)分相比有显著性差异(t=21.92,P=0.00).270例术后随访4-32个月,平均24.3月,胸腰背疼痛无再发或加重,推体高度无明显变化,相邻椎体未见骨折.结论 PVP能迅速缓解疼痛,增加椎体强度和脊柱稳定性,适用于骨质疏松性衰竭骨折尤其多发性者.
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