椎体成形术治疗压缩性骨折的效果评价

目的探讨经皮椎体成形术（PVP）治疗压缩性骨折的临床效果。方法应用经皮椎体成形术治疗骨质疏松性椎体压缩骨折患者80例，其中胸椎病变36例，腰椎病变44例，在C形臂X线机透视导向下，经皮穿刺病变椎体后注入3．0～6．5ml骨水泥（平均4．9ml）。术毕患者保持仰卧6h观察，抗感染治疗1—3d并复查平片或CT。观察止痛效果有效率和并发症。结果治疗80例93个椎体，均行单侧穿刺，64例疼痛完全缓解，17例明显缓解，4例部分缓解。术后CT证实少量骨水泥渗漏11例，随访6-18个月，所有患者疼痛无反复，无严重并发症发生。结论PVP术治疗压缩性骨折不仅可以迅速缓解患者的疼痛，而且可长期提高患者的生活质量。

The clinical application of percutaneous vertebroplasty in osteoporotic vertebral compression fractures

Objective To study the method of percutaneous vertebroplasty and its clinical efficacy.Method 80 cases with osteoporotic vertebral compression fractures were treated by inoection of polymethyl methacrylate under DSA fluoroscopic guidance(36 cases with thoracic vertebra lesions,44 cases with lumbar vertebra lesions)The time of follow--up ranged from 6～18 months.Results The procedure was successful in all patients.Among 80 cases,64 cases experienced complete relief of pain,17 cases with conspicuous relief,4 cases with partial relief.CT scan showed leakage of PMMA in 11 patients and no clinical complication in others.Conclusion PVP may not only relieve pain of patients with osteoporotic vertebral compression fractures,but also improve their quality of life.