| 球囊后凸成形术治疗骨质疏松椎体压缩性骨折 |
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| 引用本文： | 许伟华,杨述华,叶树楠,李进,唐欣. 球囊后凸成形术治疗骨质疏松椎体压缩性骨折[J]. 创伤外科杂志, 2008, 10(2): 108-110 |
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| 作者姓名： | 许伟华 杨述华 叶树楠 李进 唐欣 |
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| 作者单位： | 华中科技大学附属属协和医院骨科,湖北,武汉,430022 |
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| 摘 要： | 目的 探讨球囊后凸成形术对骨质疏松椎体压缩性骨折的疗效.方法 回顾性随访2005～2007年采用经皮球囊后凸椎体成形术治疗老年人骨质疏松椎体压缩性骨折27例,43个椎体,测量术前术后骨折椎体的后凸角度,采用视觉模拟评分(VAS)比较患者术前和术后的疼痛变化.结果 本组病例均能耐受该手术,有5个椎体出现轻度骨水泥渗漏,但患者没有临床症状.术前术后脊柱X线片显示椎体高度有所恢复,脊柱后凸畸形改善,术前椎体后凸角度(19.7±7.2)°,术后(11.6±5.3)°,所有患者疼痛明显缓解,疼痛视觉模拟评分由术前8.0±1.3下降至术后3.7±1.5.结论 球囊后凸成形术能够有效地控制骨折疏松椎体压缩性骨折导致的疼痛,并可以部分恢复椎体高度和脊柱后凸畸形,有利于改善脊柱的功能,提高患者的生活质量.
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| 关 键 词： | 球囊后凸成形术 骨质疏松 胸腰椎骨折 球囊 脊柱后凸畸形 成形 术治疗 骨质疏松 椎体后 压缩性骨折 fractures compression 患者的生活质量 功能 骨折疏松 控制 疼痛视觉模拟评分 改善 恢复 椎体高度 显示 临床症状 渗漏 |
| 文章编号： | 1009-4237(2008)02-0108-03 |
| 修稿时间： | 2008-01-04 |
Balloon kyphoplasty for osteoporotic vertebral compression fractures |
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| XU Wei-hua,YNAG Shu-hua,YE Shu-nan,et al.. Balloon kyphoplasty for osteoporotic vertebral compression fractures[J]. Journal of Traumatic Surgery, 2008, 10(2): 108-110 |
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| Authors: | XU Wei-hua YNAG Shu-hua YE Shu-nan et al. |
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| Affiliation: | XU Wei-hua,YNAG Shu-hua,YE Shu-nan,et al.(Department of Orthopaedic,Union Hospital,Huazhong University of Science , Technology,Wuhan 430022,China) |
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| Abstract: | Objective To discuss therapeutic effect of balloon kyphoplasty for osteoporosis vertebral compression fracture.Methods Twenty-seven patients with 43 osteoporosis vertebral compression fractures were managed with percutaneous balloon kyphoplasty from 2005 to 2007,and were followed up retrospectively.Both kyphosis angle of the treated vertebrae and pain by visual analog scale(VAS) were measured and recorded pre-and post-operatively.Results All the patients tolerated the operation well.Mild cement leakage happ... |
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| Keywords: | kyphoplasty osteoporosis thoracic lumbar vertebrae |
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