| 王辉,张曦,王生介,陶宏明,蒋小军,刘伟峰.经皮椎体成形术治疗伴裂隙样变椎体压缩性骨折的疗效观察[J].脊柱外科杂志,2013,11(5):274-278. |
经皮椎体成形术治疗伴裂隙样变椎体压缩性骨折的疗效观察  点此下载全文 (Fulltext) |
| 王辉 张曦 王生介 陶宏明 蒋小军 刘伟峰 |
| 210046 江苏, 南京中医药大学第一临床医学院;常州市中医院骨二科;武进人民医院骨二科;常州市中医院骨二科;武进人民医院骨二科;武进人民医院骨二科 |
| 基金项目： |
| DOI：10.3969/j.issn.1672-2957.2013.05.005 |
| 摘要点击次数: 1198 |
| 全文下载次数: 749 |
| 摘要： |
| 目的 观察经皮椎体成形术（percutaneous vertebroplasty，PVP）治疗伴裂隙样变骨质疏松性椎体压缩性骨折在恢复椎体高度、矫正后凸畸形及减轻疼痛、改善功能障碍方面的作用。方法 回顾性分析了符合标准的45例行经PVP的患者，分为2组，伴有裂隙样变者为A组20例，无椎体内裂隙样变为B组25例。对比2组术前损伤程度、手术时间、注入骨水泥量、下床活动时间及并发症。2组术前、术后1周、1年通过复查X线片对椎体高度、后凸Cobb角进行对比研究。结果 2组患椎手术时间、起床活动时间比较差异均无统计学意义（P >0.05），损伤程度A组较B组明显，注入骨水泥量 B 组少于A 组。术后2组患椎高度、后凸Cobb角均得到改善，与术前相比差异具有统计学意义（P<0.05），A组改善更为显著，与B组相比差异具有统计学意义（P<0.05）。结论 PVP是一种治疗骨质疏松性压缩性骨折行之有效的方法。裂隙样变的存在对患者疼痛缓解及功能改善无明显影响，裂隙样变者术后患椎高度、后凸畸形改善相对更明显。PVP治疗伴有裂隙样变椎体压缩性骨折疗效肯定。 |
| 关键词：胸椎 腰椎 骨质疏松 脊柱骨折 椎体成形术 |
| Curative effect observation of percutaneous vertebroplasty for vertebral compression fractures combined with intravertebral clefts Fulltext |
| WANG Hui ZHANG Xi WANG Sheng-jie TAO Hong-ming JIANG Xiao-jun LIU Wei-feng |
| Department of second Orthopaedics, First Clinical Medical College, Nanjing University of Chinese Medicine, 210046 Nanjing, Jiangsu, China |
| Fund Project: |
| Abstract: |
| Objective To observe curative effect of percutaneous vertebroplasty(PVP) for vertebral compression fractures combined with intravertebral clefts on recovering of vertebral body height, correcting of Cobb'angle, easing pain and improving dysfunction. Methods The clinical data of 45 cases who underwent PVP procedure and met the inclusion criteria were retrospectively analyzed. The cases were divided into 2 groups: intravertebral cleft group was Group A including 20 cases, and non-cleft group was Group B including 25 cases. The preoperative degree of damage, operation time, injected volume of bone cement, time to ambulated and complications were recorded. The vertebral body height and Cobb's angle were measured on reviewing X-ray films preoperative, postoperative1 week, postoperative1 year. Results There was no significant deference in the operation time and time to ambulate between 2 groups (P >0.05).The degree of damage in Group A was more serious than that in Group B. The injected volume of bone cement in Group B was significantly less than that in Group A. The height and Cobb's angle were improved significantly when compared with preoperative ones in both groups (P<0.05), and Group A was more significant (P<0.05). Conclusion PVP is an efficacy method in the treatment of osteoporosis vertebral compression fracture. There is no significant effect on the relief of pain and the improvement of dysfunction of the cass with intravertebral clefts. The vertebral body height and Cobb's angle of the cases with intravertebral clefts is comparatively more obviously improved after operation. The efficacy of PVP on the treatment of vertebral compression fractures combined with intravertebral clefts is positive. |
| Keywords:Thoracic vertebrae Lumbar vertebrae Osteoporosis Spinal fractures Vertebroplasty |
|
|
HTML
查看全文 查看/发表评论 下载PDF阅读器 |
