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PKP治疗骨质疏松性椎体压缩性骨折
引用本文:李华,王云清,刘刚. PKP治疗骨质疏松性椎体压缩性骨折[J]. 实用全科医学, 2011, 0(11): 1695-1696
作者姓名:李华  王云清  刘刚
作者单位:江苏省徐州医学院第二附属医院骨科;
摘    要:
目的探讨经皮椎体后凸成形术的临床效果。方法对268例骨质疏松性椎体压缩骨折患者共382个椎体行经皮椎体后凸成形术治疗。所有患者术前均行X线及MR检查。用VAS评分评价疼痛改善情况。结果 260患者疼痛较术前迅速缓解。手术前后VAS评分差异有统计学意义。骨水泥溢出11例,其中1例骨水泥突入椎管造成神经根损害,无肺栓塞发生,无手术相关死亡病例。结论经皮椎体后凸成形术安全可行,创伤小、操作简单、并发症少,能有效缓解临床症状;适用于骨质疏松引起的椎体压缩性骨折强化椎体,即刻止痛作用,恢复椎体高度,有较高的临床应用价值,在严格掌握适应症和规范细致的治疗下是安全有效的。

关 键 词:骨质疏松性椎体骨折  椎体成形  并发症

Treatment of Osteoporotic Vertebral Compression Fracture with Percutaneous Kyphoplasty
LI Hua,WANG Yun-qing,LIU Gang. Treatment of Osteoporotic Vertebral Compression Fracture with Percutaneous Kyphoplasty[J]. Applied Journal Of General Practice, 2011, 0(11): 1695-1696
Authors:LI Hua  WANG Yun-qing  LIU Gang
Affiliation:LI Hua,WANG Yun-qing,LIU Gang.Department of Orthopedics,the Second Affiliated Hospital of Xuzhou Medical College,Xuzhou 221006,Jiangsu,China
Abstract:
Objective Percutaneous kyphoplasty(PKP) was a minimally invasive treatment for osteoporotic vertebral compression fracture(OVCF).The aim of this study was to assess the effectiveness,complications of PKP.Methods 382 VCFs in 268 consecutive patients were treated after assessing clinical and radiological indications.The effectiveness of the procedure was determined by statistical analysis of numerical scores for pain before and after treatment.Results Reduction of pain was observed in 260 patients.Only one se...
Keywords:Osteoporotic vertebral compression fracture(OVCF)  Percutaneous kyphoplasty(PKP)  Complication  
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