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椎体成形术治疗急性骨质疏松性椎体骨折的调查
引用本文:鞠洪斌,郭东明,刘恩志,王立,钟润泉.椎体成形术治疗急性骨质疏松性椎体骨折的调查[J].中国矫形外科杂志,2011,19(12):987-990.
作者姓名:鞠洪斌  郭东明  刘恩志  王立  钟润泉
作者单位:广州医学院附属广州市第一人民医院脊柱外科,510180
摘    要:目的]椎体成形术被普遍应用于治疗骨质疏松性、疼痛性椎体压缩性骨折,其短期疗效得到了世人的肯定,但是,其中长期疗效不确切,最近有文献对椎体成形术的疗效提出了质疑.方法]对广州第一人民医院脊柱外科2006年7月~2010年5月的骨质疏松性椎体压缩性骨折住院患者进行随访.对患者治疗前、治疗后、治疗后6周和3个月的疼痛评分VSA、缓解程度和日常活动评分ADL进行调查.对整体治疗效果进行评定.两组的VSA、缓解程度和ADL进行对比.结果]椎体成形组97例患者,保守治疗组(对照组)92例.经治疗后,所有患者VSA降低,症状改善,ADL降低.椎体成形组与保守治疗对照组相比,VSA、缓解程度和ADL在治疗后和6周时,低于对照组;在治疗后3个月,疗效相当.结论]椎体成形术可以快速有效的缓解急性骨质疏松性骨折疼痛,改善症状,增加活动能力;保守治疗也可在6周后起效,并在3个月后,达到与椎体成形术基本相同的效果.

关 键 词:急性  骨质疏松  椎体  骨折  疼痛

Vertebroplasty for treatment of acute osteoporotic spinal fracture:an investigation
JU Hong-bin,GUO Dong-ming,LIU En-zhi,et al..Vertebroplasty for treatment of acute osteoporotic spinal fracture:an investigation[J].The Orthopedic Journal of China,2011,19(12):987-990.
Authors:JU Hong-bin  GUO Dong-ming  LIU En-zhi  
Institution:JU Hong-bin,GUO Dong-ming,LIU En-zhi,et al.Department of Spine,the First People's Hospital,Guangzhou Medical College,Guangzhou 510180,China
Abstract:Objective]To investigate the curative effect of vertebroplasty in the treatment of acute osteoporotic spinal fracture.Method]From July 2006 to May 2010,patients with osteoporotic vertebral compression fracture were followed up.All patients were assessed with VSA score,relief degree and activities of daily life(ADL).The results were compared between experiment group and the control group.Result]There were 97 patients in the vertebroplasty group(experiment group) and 92 patients in conservative treatment g...
Keywords:acute  osteoporosis  vertebrae  fracture  pain  
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