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。
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.
关键词
骨质疏松
椎体压缩性骨折
椎体成形术
Osteoporosis
Vertebral compression fracture,Percutaneous vertebroplasty
