经皮椎体成形术治疗骨质疏松性椎体压缩性骨折200例的疗效分析

发布时间：2018-06-26 06:06

本文选题：骨折 + 压缩性　；参考：《重庆医学》2016年22期

【摘要】：目的观察经皮椎体成形术(PVP)治疗骨质疏松性椎体压缩性骨折(VCFs)的临床疗效。方法选取该院采用PVP治疗200例(256椎)VCFs患者资料,根据术前、术后疼痛评分及活动能力的改善情况、骨水泥注入量、随访情况,分析临床疗效与再骨折和骨水泥注入量的关系。结果所有患者术后疼痛明显减轻,术前视觉模拟评分法(VAS)评分(9.84±0.30)分,术后第3天为(2.13±0.85)分;活动力水平增加,术前(3.92±0.28)分,术后第3天(1.08±0.27)分;骨水泥注入量每椎(4.79±1.42)mL,无严重并发症。平均随访39.4个月,随访期间有8例患者再次骨折入院治疗,骨水泥注入量每椎(4.70±1.16)mL,与256个椎体注入量比较差异无统计学意义(P0.05)。结论 PVP临床止痛效果与再次骨折和骨水泥注入量无明显关系;术后活动能力明显改善,与骨水泥注入量有相关性;建议规范治疗骨质疏松症。
[Abstract]:Objective to observe the clinical effect of percutaneous vertebroplasty (PVP) in the treatment of osteoporotic vertebral compression fracture (VCFs). Methods 200 patients (256 vertebrae) with VCFs were treated with PVP in our hospital. According to the improvement of pain score and activity ability before and after operation, the amount of bone cement injection and follow-up, the relationship between clinical effect and refracture and bone cement injection was analyzed. Results the postoperative pain was significantly alleviated in all the patients. The visual analogue score (VAS) score was (9.84 卤0.30), the third day after operation was (2.13 卤0.85), the level of dynamic activity was increased (3.92 卤0.28), and the third day after operation (1.08 卤0.27), and the amount of bone cement injected was (4.79 卤1.42) mL per vertebra without serious complications. The average follow-up was 39.4 months. During the follow-up period, 8 patients were admitted to hospital for refracture. The bone cement injection volume was (4.70 卤1.16) mL per vertebra, which had no significant difference compared with 256 vertebral body injections (P0.05). Conclusion the clinical analgesic effect of PVP is not related to the refracture and the amount of bone cement injection, the activity of PVP is improved significantly and is related to the amount of bone cement injection, and it is suggested that the treatment of osteoporosis should be standardized.
【作者单位】：重庆市巴南区人民医院骨科;
【基金】：重庆市巴南区科委课题(2009-10-9)
【分类号】：R687.3;R580

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