经皮椎体成形术治疗椎体骨病疼痛128例临床疗效观察

目的观察经皮椎体成形术（PVP）治疗椎体不同病变所致疼痛的临床疗效。方法对128例骨质疏松性椎体压缩性骨折（OVCF）、椎体血管瘤（VH）及多发性骨髓瘤（MM）腰痛患者行PVP，根据手术前后视觉模拟评分（VAS）评价疗效。结果128例均获得随访，时间5～18（13±3）个月。术前VAS评分：OVCF平均（7．90±1．58）分，VH平均（7．65±1．15）分，MM平均（7．41±1．24）分，术后3dOVCF降至（2．11±0．90）分，vH降至（2．42±0．91）分，MM降至（2．43±0．86）分，与术前比较差异有统计学意义（P〈0．05）。结论PVP微创，能够明显缓解疼痛，提高椎体高度，效果良好，是治疗OVCF、VH及MM的有效方法。

Observation on clinical effect of percutaneous vertebroplasty on 128 cases of vertebral body pain

Objective To observe the clinical effect of percutaneous vertebroplasty （PVP） on the treatment of different kinds of ill vertebrae body with pain. Methods A total of 128 cases, including osteoporotic vertebral compressive fracture （OVCF） , vertebral hemangioma （VH） and multiple myeploma （MM） with a pain in lumbar vertebrae underwent the treatment of PVP. Visual ana- logue scale （VAS） was used in the evaluation of outcomes. Results All the 128 cases were followed up for 5 - 18 （ 13 ± 3 ） months. Pain was assessed by VAS before operation and 3 days after operation. The VASs of OVCF, VH and MM before and after operation were （7.90~1.58） vs. （2.11 ±0.90）, （7.65±1.15） vs. （2.42±0.91） and （7.41±1.24） vs. （2.43±0.86）, respectively. The differences were statistically significant （ P 〈 0.05 ）. Conclusion PVP is of good effect on the treatment of OVCF, VH and MM.