老年骨质疏松性椎体压缩性骨折患者急性期MRI信号与经皮椎体后凸成形术后效果的相关性

发布时间：2018-01-01 21:14

本文关键词：老年骨质疏松性椎体压缩性骨折患者急性期MRI信号与经皮椎体后凸成形术后效果的相关性　出处：《中国老年学杂志》2016年23期 　论文类型：期刊论文

【摘要】：目的分析老年骨质疏松性椎体压缩性骨折(OVCF)患者急性期MRI信号与经皮椎体后凸成形术(PKP)后效果的相关性。方法收集行PKP治疗的急性期单节段老年OVCF患者98例。根据患者术前MRI中T2WI信号强度将其分为低信号组(A组)、中低信号组(B组)、中等信号组(C组)及中高信号组(D组)。比较4组术前、术后疼痛情况,椎体凸Cobb角、高度及压缩率的变化情况及其相关性。结果各组患者术后视觉模拟评分(VAS)、椎体凸Cobb角、高度及压缩率较术前均有明显程度的改善,差异有统计学意义(P0.05)。术前及术后上述各因素在组间进行比较,差异无统计学意义(P0.05)。MRI信号强度与上述因素不存在相关性(r=1.46,P=0.12)。结论老年OVCF患者急性期MRI信号与PKP后效果无明显相关性,但PKP对OVCF的治疗效果显著。
[Abstract]:Objective to analyze the elderly osteoporotic vertebral compression fractures (OVCF) in patients with acute MRI and percutaneous kyphoplasty (PKP) correlation effect. Methods 98 cases of acute cerebral PKP treatment of single segment OVCF in elderly patients. According to the T2WI patients before MRI in the signal intensity low signal group (A group), low signal group (group B), medium signal group (group C) and high signal group (group D). The comparison between the 4 groups before surgery, postoperative pain, vertebral height and convex Cobb angle, compression rate changes and correlation. Results all patients after the visual analogue scale (VAS), vertebral convex Cobb angle, height and compression rate than before surgery were significantly improved, the difference was statistically significant (P0.05). Before and after the operation of the various factors in the inter group comparison, no statistically significant difference (P0.05) of.MRI signal intensity and the factors do not exist correlation (r=1.46, P=0.12). Conclusion there is no significant correlation between the MRI signal and the effect of PKP in the acute phase of the elderly OVCF patients, but the effect of PKP on OVCF is significant.

【作者单位】：三峡大学仁和医院影像科;湖北省远安县人民医院骨科;西安交通大学附属红会医院普外科;
【分类号】：R687.3;R445.2
【正文快照】： 1湖北省远安县人民医院骨科2西安交通大学附属红会医院普外科骨质疏松性椎体压缩性骨折(OVCF)多发于老年群体〔1〕,且发病率呈逐年上升,因此对此类疾病进行防治时需引起临床的广泛重视。经皮椎体成形术(PVP)和经皮椎体后凸成形术(PKP)已被公认为是治疗OVCF引起的胸腰部疼痛的

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