经皮椎体成形术临床治疗进展

随着医学影像学的发展,椎体前柱压缩导致的腰背部疼痛可采用经皮椎体成形术治疗。该方法手术时间短、止痛效果明确、并发症较少,故安全性较高。但经皮椎体成形术亦有相应的适应证和禁忌证,只有科学掌握才能达到预期效果。笔者对经皮椎体成形术的优势、相应解剖学、适应证、禁忌证、术前评估、具体方法、并发症及其预防等进行简要综述。

Advance in Clinical Application of Percutaneous Vertebroplasty (review)

With the development of the medical imageology, the lumbar pain resulted from vertebral compression of the anterior column can be treated through percutaneous vertebroplasty (PV). PV has some advantages, such as short operative time, definite pain release, less complications and better security. However, there are some indications and contraindications in PV. PV can reach the prospective effect after handling these indications and contraindications. The authors reviewed the predominance, anatomy, indications, contraindications, assessment before the operation, operative methods, complications of PV in this article.