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ID:33005971
大小:1.65 MB
页数:32页
时间:2019-02-19
《椎体成形术后止疼机理分析》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、中文摘要术后椎体高度的恢复值、术中手术操作过程来探讨疼痛缓解的原因。结果:1根据所有患者术前、术后的VAS评分,进行统计学分析,除1例患者术后临床症状无改善(进行统计学分析时将其剔除),其余患者疼痛症状明显改善。2小剂量组共17例,术前评分平均分值为8.2964-0.201,术后评分平均分值为1.8594-0.240,常规剂量组共12例,术前评分平均分值为8.4834-0.940,术后评分平均分值为1.350±O.762,对两组病人术前、术后进行统计学分析(P2、体高度的恢复值分成的两组A组(<5mm)和B组(>5mm),其中A组患者共18例,椎体高度平均恢复值为3.6864-0.740mm,B组患者共12例,椎体高度恢复的平均值为6.4334-0.730mm,对两组止痛效果进行评价,两组在椎体高度恢复上有明显差异、术后止痛效果上无显著性差异(P>O.05),说明手术不应过分追求椎体高度的恢复而增加骨水泥的注入量。结论:椎体成形术后止疼的原因除骨水泥本身的热效应、稳定力线外,还主要是因为手术对椎体的减压使椎体内淤血、代谢物的排出,与椎体的高度和骨水泥的注入量无关,因此手术中不应过分追求椎体高度的恢3、复,另外术后的效果还和手术适应症的选择和手术操作的技巧密切相关。关键词:椎体成形术;骨质疏松;疼痛;骨水泥;胸腰椎hemangiomasforthefirsttimein1987,itsfieldofsurgicaltreatmentwasever-expandingwiththedevelopmentandtechnologicaladvances,itisusedinosteoporosisorothernon.infectiousfactorsofvertebralcompressionfracturesCurrently.itsp4、ainreliefeffecthasbeenrecognizedbyeveryone,especiallymthetreatmentofosteoporoticvertebralcompressionfracturecases,thepainreliefeffectissignificant,itwasreportedthatthePainreliefeffectcouldreachmorethan90%,Newlydevelopedpercumneousvertebralkyphosiswascommonlyusedinangiopla5、stysurgeryasaclinicalmethod,hasbeenalsoshowntohaveagoodeffectofpainrelief,Itisbasedonthetypeofpercutaneousvertebroplastyanduseoftheballooninthevertebralbodyofcompressiontoexpand,thevertebralbodyheighthasbeenrestored,andtheninjectiedthebonecement(methylmethacrylate)intothe6、vertebralbody,fillingthecavity,SOthatmakethecompressionvertebralsuccessfulreduction,despitetheclinicaleffectisveryclear,However,thespecificpainreliefmechanismhavedifferentopinions,ThepurposeofthisSubjectistostudyandanalyzethemechanismofpainrelifethroughclinicalcases.Metho7、d:Takeourdepartment30cases,whichhaveosteoporoticvertebralcompressionfracturesfromFebruary2008一August2009,detailedphysicalexaminationandimagingexamintionbeforeopretion,indicationsforsurgerystrictly,Inclusioncriteria:morethan60year,Sofage,aclearlmagmgofosteoporosisvertebral8、compressionfracture,includingfreshandoldfractures,vertebralbodyleadingandtrailingedgenoobviousfr
2、体高度的恢复值分成的两组A组(<5mm)和B组(>5mm),其中A组患者共18例,椎体高度平均恢复值为3.6864-0.740mm,B组患者共12例,椎体高度恢复的平均值为6.4334-0.730mm,对两组止痛效果进行评价,两组在椎体高度恢复上有明显差异、术后止痛效果上无显著性差异(P>O.05),说明手术不应过分追求椎体高度的恢复而增加骨水泥的注入量。结论:椎体成形术后止疼的原因除骨水泥本身的热效应、稳定力线外,还主要是因为手术对椎体的减压使椎体内淤血、代谢物的排出,与椎体的高度和骨水泥的注入量无关,因此手术中不应过分追求椎体高度的恢
3、复,另外术后的效果还和手术适应症的选择和手术操作的技巧密切相关。关键词:椎体成形术;骨质疏松;疼痛;骨水泥;胸腰椎hemangiomasforthefirsttimein1987,itsfieldofsurgicaltreatmentwasever-expandingwiththedevelopmentandtechnologicaladvances,itisusedinosteoporosisorothernon.infectiousfactorsofvertebralcompressionfracturesCurrently.itsp
4、ainreliefeffecthasbeenrecognizedbyeveryone,especiallymthetreatmentofosteoporoticvertebralcompressionfracturecases,thepainreliefeffectissignificant,itwasreportedthatthePainreliefeffectcouldreachmorethan90%,Newlydevelopedpercumneousvertebralkyphosiswascommonlyusedinangiopla
5、stysurgeryasaclinicalmethod,hasbeenalsoshowntohaveagoodeffectofpainrelief,Itisbasedonthetypeofpercutaneousvertebroplastyanduseoftheballooninthevertebralbodyofcompressiontoexpand,thevertebralbodyheighthasbeenrestored,andtheninjectiedthebonecement(methylmethacrylate)intothe
6、vertebralbody,fillingthecavity,SOthatmakethecompressionvertebralsuccessfulreduction,despitetheclinicaleffectisveryclear,However,thespecificpainreliefmechanismhavedifferentopinions,ThepurposeofthisSubjectistostudyandanalyzethemechanismofpainrelifethroughclinicalcases.Metho
7、d:Takeourdepartment30cases,whichhaveosteoporoticvertebralcompressionfracturesfromFebruary2008一August2009,detailedphysicalexaminationandimagingexamintionbeforeopretion,indicationsforsurgerystrictly,Inclusioncriteria:morethan60year,Sofage,aclearlmagmgofosteoporosisvertebral
8、compressionfracture,includingfreshandoldfractures,vertebralbodyleadingandtrailingedgenoobviousfr
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