资源描述：
《经皮椎体成形术联合密盖息治疗骨质疏松性椎体压缩骨折》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。
1、经皮椎体成形术联合密盖息治疗骨质疏松性椎体压缩骨折［摘耍］冃的:探讨经皮椎体成形术联合密盖息治疗骨质疏松性骨折的疗效。方法：2004年1月〜2008年6月，我院采用经皮椎体成形术联合密盖息治疗76例骨质疏松性椎体压缩骨折患者。采用VAS评分法评价治疗前后疼痛缓解情况。结果：经皮椎体成形术联合密盖息治疗于术后24h内疼痛症状明显缓解或消失，术后1d可下地行走，3d出院。术前患者视觉模拟评分(VAS)平均为7.9分，术后3d、3周、8周、6个月平均为2.4、2.0、1.8和1.6分，治疗3周、8周、6个月时平均分与术前比较差异均有统计学意义(
2、均PV0.05)。结论：经皮椎体成形术联合密盖息治疗骨质疏松性骨折能有效缓解老年骨质疏松性骨折疼痛。［关键词］经皮椎体成形术；密盖息；骨质疏松；椎体骨折［中图分类号］R683.2E文献标识码］A［文章编号11673-7210(2010)10(b)-029-03EfficacyofpercutaneousvertebroplastyandMiacalcicintreatmentofosteoporoticvertebra1compressionfractureCHENJianmin,HUANGBingsheng,HUANGJiongfeng
3、,CHENLi'an,XTAOLijun,CHENWengui(TheFirstDepartmentofOrthopedics,thePeople'sHospitalofPemyuDistrictinGuangzhouCity,GuangdongProvince,Guangzhou511400,China)［Abstract］Objective:TostudytheefficacyofpercutancousvertebroplastyandMiacalcicintreatmentofosteoporoticvertebralcompre
4、ssionfracture・Methods:FromJanuary2004toJune2008,76casesofpatientswithosteoporoticvertebralcompressionfractureinourhospitalweretreatedwithpercutaneousvertebroplastyandMiacalcic.PainreliefbeforeandafteroperationwasevaluatedbyVAS(visualanalogscale)・Results:Thepainreliefat24h
5、oursafteroperationwithpercutaneousvertebroplastyandMiacalcicwassignificant・Patientscouldwalkin1dayafteroperationand1eavehospitaiin3days.TheaverageVASwassharp!ydecreasedfromre-operation7.9to2.4atday3afteroperation,anddecreasedto2.0in3weeks(P<0.05)・TheVASof8weeksand6monthsa
6、fteroperationwasdecreasedto1・8and1・6,therewasasignificantdiffereneecomparedwiththatofcontrolgroup(al1PVO.O5).Cone1usion:PercutaneousvertebroplastyandMiacalcicintreatmentofosteoporoticvertebralcompressionfracture,whichcouldrelievepainsigificantly.［Keywords］Percutaneousvert
7、ebroplasty;Miacalcic;Osteoporosis;Vertebralfractures骨质疏松性椎体压缩骨折(osteoporoticvertebralcompressionfracture,OVCF)是老年人群的常见病，其治疗方法包括保守治疗、开放手术治疗和近年开展的经皮椎体成形术(percutaneousvertebroplasty,PVP)和经皮椎体后凸成形术(percutaneouskyhoplasty,PKP)手术治疗。老年人骨基质明显减少，骨质变得疏松脆弱，容易在外力的作用下发生椎体压缩性骨折。传统的卧床保守
8、治疗易导致骨质疏松程度加重及并发症出现。我院2004年1月〜2008年6月对76例骨质疏松性椎体骨折患者行经皮穿刺椎体成形术联合密盖息治疗，取得良好疗效，现报道如下：1资料与方法1.1一般资料
