经皮椎体后凸成形术结合中医三期分治治疗老年骨质疏松性椎体压缩骨折

[目的]探讨老年骨质疏松性椎体压缩骨折有效治疗途径。[方法]应用术前定位法开展PKP术，结合中医三期分治治疗老年骨质疏松性椎体压缩骨折。[结果]50例均一次穿刺成功，无临床并发症发生，42例患者术后疼痛完全缓解；8例患者术后腰部有酸胀感，于术后次日至第三日缓解。术后X线片复查提示椎体高度平均丢失约（7.3±2.7）mm，Cobb氏角矫正至平均（1.43±6.5）°，较术前恢复满意。[结论]应用术前定位法开展PKP术，结合中医三期分治治疗老年骨质疏松性椎体压缩骨折临床有效。

Percutaneous Kyphophlasty Combined with 3-phase TCM Therapy Treat Senile Osteoporosis Vertebral Compression Fracture

[Objective]To explore effective method for senile osteoporosis vertebral compression fraeture. [Method] Make PKP operation with pre-operation orientation, combining with 3 phase TCM therapy, for senile osteoporosis vertebral compression fracture. [Result] 50 cases were successful with one puncture, without clinical complication; 42 cases were completely relieved of post-operation pain; 8 had sour and swelling sensation and were relieved 2 or 3 days later. The X-ray recheck showed vertebral height was lost（7.3±2.7）mm in average, the Cobb angle was corrected to average（1.43±6.5）°, all more satisfying than pre-operation.[Conclusion] Applying pre-operation orientation for PKP operation, combining with 3 phase TCM therapy, is clinically effective for senile osteoporosis vertebral compression fracture.