[1]胡明鉴,马红兵,刘雅,等.中上胸椎骨质疏松性椎体压缩骨折的椎体成形术治疗[J].中国微创外科杂志,2011,11(11):1008-1011.
　Hu Mingjian*,Ma Hongbing*,Liu Ya,et al.Percutaneous Kyphoplasty for Upper and Midthoracic Osteoporotic Vertebral Compression Fracture[J].Chinese Journal of Minimally Invasive Surgery,2011,11(11):1008-1011.
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中上胸椎骨质疏松性椎体压缩骨折的椎体成形术治疗()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
11
期数:
2011年11期
页码:
1008-1011
栏目:
出版日期:
2011-11-20

文章信息/Info

Title:
Percutaneous Kyphoplasty for Upper and Midthoracic Osteoporotic Vertebral Compression Fracture
作者:
胡明鉴; 马红兵; 刘雅; 曾勇; 梁益建; 刘强
成都市第二人民医院骨科，成都610017
Author(s):
Hu Mingjian*;  Ma Hongbing*;  Liu Ya;  et al.
*Department of Orthopaedics, 2nd People’s Hospital, Chengdu 610017, China
关键词:
胸椎; 椎体压缩性骨折; 经皮穿刺椎体成形术
Keywords:
Thoracic vertebra; Vertebral compression fracture; Percutaneous kyphoplasty
分类号:
R683.1
文献标志码:
A
摘要:
目的探讨单侧穿刺经皮椎体后凸成形术（percutaneous kyphoplasty，PKP）治疗中上胸椎骨质疏松性椎体压缩骨折（osteoporotic vertebral compression fractures，OVCF）的疗效。方法2005年12月～2010年5月，对22例（28椎）中上胸椎（T4～T8）OVCE，在C形臂X线机监视引导下，进行单侧穿刺PKP。术前和术后3 d、6个月采用疼痛视觉模拟评分（VAS）和骨折椎体压缩率对疼痛缓解程度和骨折椎体复位程度进行评价。结果椎体内骨水泥注射剂量1.2～5 ml，平均2.6 ml。术中未发生并发症。术后疼痛均明显缓解或消失。术前、术后3 d、术后6个月VAS评分分别为(8.6±1.2)、（2.2±1.6）、(13±0.8)分，术前与术后3 d、6个月比较有显著性差异(q=24.138,P<0.05; q=27.532,P<0.05)，术后3 d与6个月比较有统计学差异(q=3.394,P<0.05)。椎体压缩率术前与术后3 d、6个月分别为（28.1±16.5）%、（19.2±12.6）%、（20.1±8.1）%，术前与术后3 d、6个月比较有明显恢复（P=0.048）。结论单侧穿刺PKP治疗中上胸椎OVCF安全、有效。
Abstract:
ObjectiveTo evaluate the clinical outcome of unilateral percutaneous kyphoplasty (PKP) for upper and midthoracic osteoporotic vertebral compression fracture (OVCF). MethodsFrom December 2005 to May 2010, we performed unilateral PKP under the guidance by Carm Xray on 22 patients with OVCF (T4-T8, 28 vetebrae). We evaluated the changes of visual ananlog scale (VAS) and vertebal compression ratio at day 3 and month 6 postoperation.ResultsThe volume of cement injected per vertebal body was 1.2-5 ml (mean, 2.6 ml). Pain relief and mobility improvement were observed after the operation without any clinical complications. The VAS significantly decreased from the preoperative score of (8.6±1.2) points to a postoperative score of (2.2±1.6) points at the third day and (1.3±0.8) points sixth months after the operation respectively (preoperation vs. 3 days postoperation, q=24.138, P<0.05; preoperation vs. 6 months postoperation, q=27.532, P<0.05; 3 days vs. 6 months, q=3.394, P<0.05). The compression rates of the affected vertebral body were (28.1±16.5)% before the operation, (19.2±12.6)% on the third day and (20.1±8.1)% sixth months after the operation, respectively (preoperation vs. postoperation,P=0.048). ConclusionsUnilateral PKP is safe and effective for upper and midthoracic OVCF.

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备注/Memo

备注/Memo:
基金项目：四川省卫生厅科研课题（编号070377）刘雅老年干部科
更新日期/Last Update: 2013-05-06