经皮球囊扩张椎体后凸成形手术治疗骨质疏松性椎体压缩性骨折及椎体肿瘤

目的探讨经皮球囊扩张椎体后凸成形手术治疗骨质疏松性椎体压缩性骨折和椎体肿瘤的临床疗效。方法回顾性分析2010年1月至2011年12月间45例经皮球囊扩张椎体后凸成形术治疗骨质疏松性椎体压缩性骨折和椎体肿瘤患者的临床资料。结果治疗前视觉模拟评分法(VAS)、活动能力评分、前缘椎体高度、后缘椎体高度、Cobb's角度分别为(8.5±11.4)分、(3.2±0.7)分、(17.7±1.6)mm、(19.8±1.2)mm、(30.8±3.1)度。治疗后VAS评分、活动能力评分、前缘椎体高度、后缘椎体高度、Cobb's角度分别为(2.3±0.6)分、(1.4±0.3)分、(22.5±0.9)mm、(23.7±1.1)mm、(6.7±0.7)度。治疗前后与治疗后VAS评分、活动能力评分、前缘椎体高度、后缘椎体高度、Cobb's角度的数据比较,差异有统计学意义(P<0.05)。治疗过程中所有患者均得到较好的康复,并且无神经功能症状和感染以及血管栓塞等并发症发生。结论临床中采取经皮球囊扩张椎体后凸成形术治疗骨质疏松性椎体压缩性骨折和椎体肿瘤效果显著,有效的提高患者临床治疗有效率,并且创伤也比较小,术后恢复也比较快,并发症也较少,有效的改善椎体高度,值得临床中应用与推广。

Percutaneous balloon kyphoplasty for osteoporotic vertebral compression fractures and vertebral tumors

Objective To investigate the clinical efficacy of percutaneous balloon kyphoplasty for osteoporotic vertebral compression fractures and vertebral tumors. Methods Clinical data of 45 cases in our hospital from 2010 January to 2011 December of percutaneous balloon kyphoplasty for osteoporotic vertebral compression fractures and vertebral tumor were reviewed. Results Before treatment,VAS score,activity score, vertebral height, front edge vertebral height, Cobb angle＇s were （8.5 ± 11.4 ） scores,（3.2±0. 7）scores,（17.7 ±1.6） mm,（19.8 ±1.2） mm,（30.8 ±3. 1）°,after the treatment they were （2.3 ±0.6）%,（1.4±0.3）%,（22.5 ±0.9） mm,（23.7 ± 1. 1） mm,（6.7± 0.7 ）° , respectively. Compared with those before treatment and after treatment, VAS score activity score, anterior vertebral height,posterior vertebral height, s angle Cobb data have obvious difference, there was statistically significant （ P 〈 0. 05 ）. All patients in the course of treatment were good recovery, and no neurological symptoms and complications such as infection and vascular remobilization. Conclusions The clinical by percutaneous balloon kyphoplasty for osteoporotic vertebral compression fractures and vertebral tumor effect, clinical treatment can improve the patients effective efficiency, and the wound is small, restore more quickly after operation, few complications, effectively improve the vertebral height, it is worthy of application and promotion in clinical practice.