| 庄传记 吕志华 王小明.PKP在骨质疏松性胸腰椎压缩性骨折中的临床应用[J].实用中西医结合临床,2011,(4):10-11 |
| PKP在骨质疏松性胸腰椎压缩性骨折中的临床应用 |
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| DOI： |
| 中文关键词: 球囊后凸成形术 骨质疏松 椎体压缩性骨折 背部疼痛 |
| 英文关键词: Percutaneous kyphoplasty Osteoporosis Vertebral compression fracture Back pain |
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| 中文摘要: |
| 目的：探讨经皮椎体球囊后凸成形术(percutaneous kyphoplasty,PKP)在骨质疏松性胸腰椎压缩性骨折中的临床应用，了解其对于镇痛及椎体高度复位的临床效果。方法：28例骨质疏松性胸腰椎压缩性骨折接受PKP术，共28个椎体。记录术前、术后的视觉模拟评分(visual analog scale,VAS)及患椎高度的变化。结果：术前、术后VAS评分及椎体高度变化有统计学意义。对所有患者进行6~18个月的随访（平均12.5个月），无1例患者发生肺栓塞、下肢神经损伤，2例无症状骨水泥漏。结论:PKP术对于老年人骨质疏松性压缩性骨折的治疗疗效明确，其能快速缓解腰背部疼痛，减轻后凸畸形，提高患者的生活质量。 |
| 英文摘要: |
| Objective:To explore the clinical effect of percutaneous kyphoplasty(PKP) in the treatment of thoracolumbar vertebral compression fractures(VCFs)with osteoporosis. Methods:28 Cases(28 vertebrae) were treated by PKP. Patients were evaluated with a visual analog scale(VAS) preoperatively and postoperatively. The rate of anterior vertebrae height also be compared preoperatively and postoperatively.Result:The mean VAS decreased and the rate of anterior vertebral height increased significantly from Preoperatively to postoperatively.The average duration of the follow-up was 12.5 months(6 to 18 months). Pulmonary embolism and symptomatic cement extravasation after the PKP were not observed. There were 2 cases with asymptomatic cement extravasation postoperatively. Conclusions:Elderly patients with symptomatic VCFs had rapid, significant, and sustained improvements in back pain, back function, and quality of life following percutaneous kyphoplasty. |
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