椎体成形术治疗骨质疏松性新鲜椎体压缩骨折的疗效分析

doi:10.3969/j.issn.1000-8535.2015.01.014

广州医药 ›› 2015, Vol. 46 ›› Issue (1): 42-45.DOI: 10.3969/j.issn.1000-8535.2015.01.014

椎体成形术治疗骨质疏松性新鲜椎体压缩骨折的疗效分析

崔健超¹, 杨志东², 张顺聪², 江晓兵², 梁德², 郭丹青¹, 莫凌², 冯蓬勃¹

1 广州中医药大学 (广州 510405)
2 广州中医药大学第一附属医院 (广州 510405)

收稿日期:2014-09-13 发布日期:2021-11-30
通讯作者: 杨志东,E-mail:149504193@qq.com

The efficiency and safety of percutaneous vertebroplasty in the treatment of the fresh osteoporotic vertebral compression fractures

Cui Jianchao, Yang Zhidong, Zhang Shuncong, Jiang Xiaobing, Guo Danqing, Feng Fengbo, et al

Guangzhou University of Traditional Chinese Medicine,Guangzhou 510405,China;
The No.1 Affiliate Hospital of Guangzhou University of Traditional Chinese Medicine,Guangzhou 510405,China

Received:2014-09-13 Published:2021-11-30

摘要/Abstract

摘要： 目的回顾分析椎体成形术(PVP)对于治疗骨质疏松性新鲜椎体压缩骨折(OVCF)患者的疗效。方法收集2011年1月—2012年6月新鲜OVCF患者伤后两周内行PVP术治疗共34例(51个椎体)。于术前1天、术后3天、1个月、3个月、6个月、12个月予VAS、ODI评分,并行X线检查以测量病椎前、中、后缘的高度和病椎cobb角。结果纳入研究的34个病例中,患者术后各时间点随访中VAS和ODI评分均较术前1天明显改善(P<0.05)。术后各时间点随访中行X线检查时,术后各次随访中椎体前缘、中段、病椎cobb角均较术前有较为明显的矫正(P<0.05)。结论应用PVP治疗新鲜OVCF疗效满意,可快速缓解疼痛、改善生活质量和矫正病椎后凸畸形。

关键词: 骨质疏松性, 椎体压缩性骨折, 骨质疏松, 椎体成形术

Abstract: Objective To study the efficiency and safety of percutaneous Vertebroplasty(PVP) for the fresh osteoporotic vertebral compression fractures(OVCF). Methods 34 patients (30 females and 4 males), mean age 75.8 years old(75.79±9.32, range 60 to 93 years old) hospitalized between January 2011 to June 2012 were reviewed retrospectively in this study. Evaluation at follow-up time point(1 day before PVP, 3rd day, 1st, 3rd, 6th, 12th month after PVP) included the pain score with VAS, mobility improvement with ODI and the measurement of anterior, middle and posterior height of the fractured vertebra, and kyphotic angle of the fractured vertebra with X-ray image. Results For the 34 patients by followed up 1 year, the mean VAS score and ODI decreased significantly after PVP at any follow-up time compared with the 1 day before operation. Anterior and middle body height and the focal kyphotic angle at any follow-up time after PVP was improved statistically significant compared with the preoperative value(P<0.05). Conclusion Percutaneous vertebroplasty results in prompt pain relief, rapid rehabilitation and kyposis reduction, it is a safe and effective procedure for treating fresh osteoporotic vertebral compression fractures.

Key words: Fresh Osteoporotic Vertebral Compression Fractures, Percutaneous Vertebroplasty, Osteoporosis

崔健超, 杨志东, 张顺聪, 江晓兵, 梁德, 郭丹青, 莫凌, 冯蓬勃. 椎体成形术治疗骨质疏松性新鲜椎体压缩骨折的疗效分析[J]. 广州医药, 2015, 46(1): 42-45.

Cui Jianchao, Yang Zhidong, Zhang Shuncong, Jiang Xiaobing, Guo Danqing, Feng Fengbo, et al. The efficiency and safety of percutaneous vertebroplasty in the treatment of the fresh osteoporotic vertebral compression fractures[J]. Guangzhou Medical Journal, 2015, 46(1): 42-45.

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椎体成形术治疗骨质疏松性新鲜椎体压缩骨折的疗效分析

The efficiency and safety of percutaneous vertebroplasty in the treatment of the fresh osteoporotic vertebral compression fractures

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