| 椎体后凸成形术治疗老年胸腰椎压缩骨折 |
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| 引用本文： | 赵华磊,查建跃.椎体后凸成形术治疗老年胸腰椎压缩骨折[J].中国中医药现代远程教育,2011,9(1):41-42. |
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| 作者姓名： | 赵华磊 查建跃 |
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| 作者单位： | 云南省临沧市人民医院骨科,677000 |
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| 摘 要： | 目的探讨运用经皮球囊扩张椎体后凸成形术((Percutaneous Kyphoplasty PKP)治疗老年胸腰椎压缩骨折的临床疗效。方法对31例(36个椎体)老年病理性压缩骨折患者采用PKP治疗,手术前、后在侧位X线片上测量手术椎体的高度及后凸Cobb角,进行视觉模拟评分(VAS),术后观察骨水泥渗漏情况,对其临床效果进行评价及随访。结果 31例术后椎体前缘及中线高度较术前恢复明显;术后Cobb角较术前明显变小,后凸畸形得到明显矫正,术后各时间点平均VAS评分均较术前明显降低。随访4～38个月,疼痛缓解明显,无复发。结论经皮椎体后凸成形术治疗老年胸腰椎病理性压缩骨折具有微创、止痛效果好、无明显并发症及早期下地活动等优点,明显提高了患者生活质量。
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| 关 键 词： | 老年胸腰椎骨折 压缩骨折 椎体后凸成形术 |
Treatment for Thoracolumbar Fracture with Percutaneous Kyphoplasty in Elder |
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| Gao Qilong,Chang Min,Jiang Bo Dept. of Orthopedics,Kunming Hospital of TCM,Yunnan,Kunming.Treatment for Thoracolumbar Fracture with Percutaneous Kyphoplasty in Elder[J].Chinese Medicine Modern Distance Education of China,2011,9(1):41-42. |
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| Authors: | Gao Qilong Chang Min Jiang Bo Dept of Orthopedics Kunming Hospital of TCM Yunnan Kunming |
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| Institution: | Gao Qilong,Chang Min,Jiang Bo Dept. of Orthopedics,Kunming Hospital of TCM,Yunnan,Kunming,650011 |
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| Abstract: | Objective To evaluate the clinical effect of percutaneous Kyphoplasty in treatment of osteoporotic thoracolumbar compression fracture in elder. Methods 31 patients(36 vertebral) with elderly osteoporotic thoracolumbar compression fractures are treated with PKP. The results were quantitatively evaluated,according to the concept of estimated vertebral height loss and kyphotic angle of the vertebral fractures by preoperative and postoperative plain standing lateral radiographs. Visual analog scale(VAS) and cem... |
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| Keywords: | Elderly thoracolumbar fracture compression fracture Percutaneous kyphoplasty |
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