| 周怡,何小勇,谢峰.经皮椎体后凸成形术治疗骨质疏松性胸腰椎压缩性骨折107例[J].浙江中西医结合杂志,2014,24(8): |
| 经皮椎体后凸成形术治疗骨质疏松性胸腰椎压缩性骨折107例 |
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| 投稿时间：2013-10-20 修订日期：2013-12-18 |
| DOI： |
| 中文关键词: 骨质疏松 椎体压缩性骨折 经皮椎体后凸成形术 |
| 英文关键词:Osteoporosis Vertebral compression fracture Percutaneous kyphoplasty |
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| 中文摘要: |
| 目的 探讨经皮椎体后凸成形术(PKP)治疗骨质疏松性胸腰椎压缩性骨折的疗效。方法 自2008年10月至2012年10月,采用PKP治疗老年骨质疏松性胸腰椎压缩性骨折107例。结果 术后随访4-12月,平均6.5个月。术后24小时内疼痛明显缓解101例,无明显缓解6例,经卧床休息,抗炎对症治疗后逐渐好转。优良率94.39%。术前、术后3天的VAS评分分别为(8.35±0.53)分、(2.56±0.30)分；差异有统计学意义(P<0.01)；患椎前缘高度分别为(15.13±2.56)mm、(21.36±2.38)mm,差异有统计学意义(P<0.01)；Cobb角平均值由(21.78±3.04) °降到(11.34±2.73)°,差异有统计学意义(P<0.01)。结论 PKP是治疗骨质疏松性椎体压缩性骨折有效的治疗方法之一,能缓解疼痛,恢复椎体高度,疗效显著。 |
| 英文摘要: |
| Objective To study the efficacy of percutaneous kyphoplasty(PKP) in treating thoracolumbar osteoporotic compressed fracture.Methods From 2008 to 2012 101cases of thoracolumbar osteoporotic compressed fracture underwent percutaneous kyphoplasty. Results All patients were followed up,The follow-up time ranged from 4 to 12 months,avergely 6.5months. 94.39% of the patients achieved satisfactory results . VAS scores were 8.35±0.53 points preoperatively ,2.56±0.30 points at 3 dayes after operation (P<0.01). preoperatively ,the anterior vertebral height was (15.13±2.56)mm after operation was( 21.36±2.38)mm (P<0.01). The average Cobb’s angle improved from (21.78±3.04) °preoperatively to (11.34±2.73)°preoperatively (P<0.01). Conclusion percutaneous kyphoplasty can efficiently relieve back pain of the wounded,restore the vertebral height. |
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