经皮椎体后凸成形术在野战综合手术救治方舱中的应用

发布时间：2018-01-31 13:19

本文关键词： 椎体压缩性骨折骨质疏松野战综合手术救治方舱经皮椎体后凸成形术　出处：《介入放射学杂志》2017年09期 　论文类型：期刊论文

【摘要】：目的灾难救治现场,于野战综合手术救治方舱中对老年性骨质疏松性椎体压缩性骨折的受灾患者行经皮椎体后凸成形术(PKP)的近期临床疗效分析。方法回顾性分析2013年4月—2016年8月由该院参与救治的老年性骨质疏松性椎体压缩性骨折患者43例(51椎),患者伤后立即在该院研制的野战综合手术救治方舱中行PKP手术,观察患者平均手术时间,比较手术前后痛觉视觉模拟评分(VAS)的变化和侧位X线平片上相应节段Cobb角的变化及椎体前、中、后缘高度的变化。结果本组43例患者平均手术时间(52±15)min,术后VAS疼痛评分较术前明显降低(P0.01),术后伤椎相应节段Cobb角较术前有显著改变(P0.01),且伤椎椎体前、中缘高度较术前均由明显恢复(P0.01),差异均有显著统计学意义。结论在野战综合手术救治方舱中对骨质疏松性压缩性骨折患者行PKP治疗是对老年患者紧急治疗的十分有效的方法,能早期解决患者骨折所导致的剧烈疼痛,改善患者预后。
[Abstract]:The purpose of the disaster rescue scene, for the affected patients with compression fracture of osteoporotic vertebral surgery in a field where the shelter of percutaneous kyphoplasty (PKP) clinical analysis. Methods Retrospective analysis of April 2013 - August 2016 by the hospital in the treatment of senile osteoporotic vertebral compression fractures 43 patients (51 vertebrae), patients immediately after injury in the hospital development and comprehensive surgical treatment shelter field underwent PKP operation were observed, the average operation time, compared before and after surgery pain visual analogue scale (VAS) and the change of lateral X-ray changes in the corresponding segment of the Cobb angle and the vertebral body in. Change, trailing edge height. Results of the 43 patients, the average operation time (52 + 15) min, postoperative VAS pain score was significantly lower than that before operation (P0.01), postoperative vertebral segments have significantly changed corresponding compared with the preoperative Cobb angle (P0.01), and Vertebral anterior margin height, in compared with the preoperative by obvious recovery (P0.01), the difference was statistically significant. Conclusion in the comprehensive surgical field treatment to shelter the osteoporotic vertebral compression fractures were treated with PKP is an effective method for elderly patients in emergency treatment, can solve the severe pain in patients with early fracture lead, improve the prognosis of the patients.

【作者单位】：沈阳军区总医院骨科脊椎病区;
【基金】：解放军总后勤部卫生部科研基金(15QNP004)
【分类号】：R826
【正文快照】： 图1野战综合手术救治方舱内部图由于椎体力学强度降低而导致的椎体压缩性骨折是骨质疏松症患者常出现的一种疾病,此时患者主要表现为病区疼痛、脊柱塌陷、进行性脊柱后凸畸形等,会严重影响患者生活质量、身体活动以及心里健康和寿命[1]。老年骨质疏松患者出现椎体压缩性骨折的

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