56例经皮单侧椎体成形术手术配合与护理

目的 探讨经皮单侧椎体成形术（percutaneous vertebroplasty，PVP）治疗骨质疏松新鲜胸腰椎压缩性骨折（vertebral compression fracture，VCF）的手术配合方法 。方法 术前做好环境、设备、仪器及特殊材料的充分准备，做好病人的心理护理；正确安置病人的手术体位，56例均采用局麻，俯卧位，手术椎体范围T10-L4；按流程规范操控C型臂X线数字影像系统；严格掌握骨水泥的调配技巧。结果 56例骨质疏松新鲜胸腰椎压缩性骨折患者经皮单侧椎体成形手术均成功，骨水泥无渗漏，分布均匀，超过椎体中线，成功率为100％，无护理相关并发症发生，术后2～48h病人疼痛缓解或消失。结论 经皮单侧椎体成形手术是治疗骨质疏松新鲜胸腰椎压缩性骨折的有效方法 ，术前准备充分，手术人员默契及有条不紊的术中配合是病人安全和手术成功的重要保证，对延长生命、提高生活质量起着重要作用。

An analysis of operative cooperation and nursing care in 56 cases of percutaneous unilateral vertebral plasty surgery

Objective To analyze operative cooperation and nursing care in 56 cases of percutaneous unilateral vertebral plasty surgery. Methods We made full preparations about operation environment, and operation equipments, instruments and materials needed in operation were get ready before operations. The mental state of patients was carefully attended to. The patients postures were corrected. We applied local anesthesia in 56 patients. The operation vertebral scope is T10-L4 ; C arm X-ray digital imaging was controlled according to the process manual; bone cement mixing technique was skillfully mastered. Results The percutaneous unilateral vertebral plasty surgery operations were all successful in 56 patients with osteoporosis fresh thoracolumbar compression fractures. There was no leakage of bone cement and bone cement was well-distributed. The success rate is 100%, without related complications. The patientsr pain was relieved and disappeared within 2 hours and 48 hours after operations. Conclusion Percutaneous unilateral vertebral angioplasty is an effective method in the treatment of osteoporosis fresh thoracolumbar compression fractures. The success of operation and patients＇ quick recovery depends largely on such factors as the full preparation before operations, the cooperation between doctors and nurses during operations and the careful nursing after operations. The operative cooperation and careful nursing play a very important role in extending patients＇ life and improving patients＇ life quality.