资源描述：
《球囊扩张椎体后凸成形注入骨水泥治疗老年骨质疏松性椎体压缩性骨折.doc》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、球囊扩张椎体后凸成形注入骨水泥治疗老年骨质疏松性椎体压缩性骨折［摘要］目的：探讨球囊扩张椎体后凸成形注入骨水泥治疗老年骨质疏松性椎体压缩性骨折的临床效果。方法：选择我院2006年10月〜2010年5月收治的应用经皮球囊扩张椎体后凸成形术治疗骨质疏松性椎体压缩性骨折的30例患者，按照VAS评分、影像学资料、Oswestry评分标准分别对患果：所有手术均顺利完成,无严重手术并发症。有7个椎体发生骨水泥渗漏,均未出现临床症状。术后患者腰痛均明显缓解，随访7~26个月，平均14个月，视觉模拟评分(VAS)由术前的(7.4±1.7)分下
2、降至术后的()分,最终随访为(1.6±0.8)分；Oswestry功能评分术前为(40.0011.16)分，术后为(17.00±2.11)分，末次随访为(15.00±1.41)分;椎体前缘的高度术前平均为(0.8±0.1)cm,术后为(1.2±0.3)cm,末次随访为(1.2±0.3)cm;伤椎后凸角度术前平均为(28.2±5.3)。，术后为(19.2±4.8)°,末次随访为(19.4±5.1)%各指标术后与术前、最终随访时与术前差异均有统计学意义(P<0.05);术后与最终随访时差异无统计学意义(P>0.05)b结论：球囊扩
3、张经皮椎体后凸成形术是治疗老年骨质疏松性椎体压缩性骨折的有效方法，可迅速缓解疼痛，改善脊柱功能，并且远期稳定性较好,适用于年龄较大、合并症较多的老年患者。者疼痛、椎体高度和Cobb角、日常活动功能进行观察。结［关键词］球囊扩张椎体后凸成形术；骨水泥；骨质疏松；脊柱压缩性骨折［中图分类号］R683.2［文献标识码］B［文章编号］1673-7210(2011)11(c)-049-03PKPandbonecementinjectedtreatmentforosteoporoticvertebralcompressionfractur
4、esinoldpatientsYEHong,CHENXiaojieDepartmentofthe1stOrthopedic,NanpingFirstHospitalAffiliatedtoFujianMedicalUniversity,FujianProvince,Nanping350005,China［Abstract］Objective:Toinvestigatetheeffectofpercutaneousballoonkyphoplastytreatment(PKP)andbonecementinjectedtreat
5、mentforosteoporoticvertebralcompressionfractures(OVCF)inoldpatients.Methods:Thedataof30casesofOVCFtreatedbyPKPandbonecementinjectioninourhospitalfromOctober2006toMay2010wereanalyzed,accordingtoVASscores,imagingdata,oswestryscoringcriteriaforpatients,pain,vertebralhe
6、ightandCobbangle,activitiesofdailylivingfunctionswereobserved.Results:Alloperationsweresuccessfullycompleted,noseriouscomplications.Thereweresevenvertebraebonecementleakage,allwerenotappearclinicalsymptoms.Patientswithlowbackpainwererelievedaftersurgery,followupfor7
7、to26months,averageof14months,visualanaloguescale(VAS)frompreoperative(7.4±1.7)scoresdowntopostoperative(1.8±1.1)scores,thefinalfollowupwas(1.6±0.8)scores;oswestryfunctionalscoresbeforesurgerywas(40.00±1.16)scoresandafteroperationwas(17.00±2.11)scores,thelastfollowup
8、was(15.00±1.41)scores;preoperativeanteriorvertebralheightaveragewas(0.8±0.1)cm,postoperativewas(1.2±0.3)cm,thelastfollowupwas(1.2±0.3)cm;p
