体外充气复位结合椎体成形术治疗胸腰椎压缩性骨折

目的:采用自制便携式充气复位仪结合椎体成形术治疗胸腰椎压缩性骨折,探讨其治疗效果。方法:术前先进行骨折部位体外充气复位,然后行椎体成形术,共治疗胸腰椎压缩性骨折患者15例,其中男4例,女11例;年龄33~76岁。骨折时间均在1周以内,损伤部位为T10-L2的胸腰段压缩性骨折,其中T101例,T111例,T125例,L15例,L23例,分别测量患者术前及术后椎体压缩率,计算其复位率,并按临床疗效标准进行评定。结果:所有患者术后疼痛症状消失或明显减轻,平均复位率达到78.44%±16.82%,术后随访3个月,按临床疗效评定标准评定治愈12例,好转3例。无严重并发症发生,效果满意。结论:充气复位结合椎体成形术治疗胸腰椎压缩性骨折具有微创、安全有效、操作方便、便于携带、并发症少及费用较低等优点。

Percutaneous vertebroplasty combined with portable charged reduction device for the treatment of thoracolumbar compression fracture

Objective: To study therapeutic effects of self-made portable charged reduciton device combined with percutaneous vertebroplasty(PVP) for the treatment of thoracolumbar compression fracture.Methods: Fifteen patients(male 4 and female 11,ranging in age from 33 to 76 ages) with thoracolumbar compression fracture were treated with portable charged reduction device before PVP were used.The interval from fracture to treatment was within 1 week.The damaged vertebrae ranged from T₁₀ to L₂,among which 1 patient was in T₁₀,1 patient was in T₁₁,5 patients were in T₁₂,5 patients were in L₁,and 3 patients were in L₂.Before and after the treatment,the compression ratio of vertebrae was measured,and the reduction ratio was calculated,as well as the therapeutic effects were evaluated.Results: After the operation,the pain of all the patients disappeared or reduced obviously,and the mean reduction ratio was 78.44%±16.82%.The patients were followed up for 3 months.According to clinical curative effect evaluation standard,12 patients obtained an excellent result and 3 good.All the patients were healed or improved without serious complications.Conclusion: Treatment of thoracolumbar compression fracture with PVP and portable charged reduction device had the following advantages:minimal invasion,high security,less complications,cheapness,and higher value in clinic.