中国伤残医学2016，Vol.24Issue(22)：6-7,8,3.DOI:10.13214/j.cnki.cjotadm.2016.22.003
经皮穿刺椎体成形术治疗高龄骨质疏松性胸腰椎压缩性骨折的疗效观察
Curative effect observation of percutaneous vertebroplasty (PVP) on elderly osteoporotic thoracolumbar vertebral compression fractures
丁小科 1黄绍贤 1陈志军 1郑金财 1黎树佳 1邓征智1
作者信息
- 1. 肇庆市第二人民医院骨科，广东肇庆 526060
- 折叠
摘要
Abstract
Objective:To explore the efficacy and safety of the application of percutaneous vertebroplasty ( PVP) on elderly (≥80 years) patients with osteoporotic thoracolumbar vertebral compression fractures.Methods:Analyzing elderly patients with osteoporotic tho-racolumbar vertebral compression fracture 28 cases, a total of 35 vertebrae.All patients did routine thoracic or lumbar spine radiographs, bone density testing, MRI ( magnetic resonance imaging, MRI) and computed tomography ( computed tomography, CT) examination be-fore surgery.And did preoperative risk assessment.All did percutaneous vertebroplasty ( PVP) by trans-single-pedicular approach guided by the"C"type arm X-ray machine.Preoperative and postoperative visual analog scale ( VAS) and analgesics use score were performed .Results:After surgery all patients were with stable vital signs , the pain in their chest and back relieved obviously, none of them with neurological complications ,or appeared severe complications, they could get out of bed in the early stage.Postoperative the vis-ual analog scale ( visual analogue sale, VAS) [1] and the score of analgesics use significantly reduced obviously than preoperative, and the difference was statistically significant (P <0.01).Conclusion:Using Percutaneous vertebroplasty (PVP) on elderly patients with osteo-porotic thoracolumbar vertebral compression fracture could safely and effectively relieve the pain in them, reduce the use of painkillers, so that the patients could early ambulation, reduce the complications which caused by long-term bedridden, improve the quality of life of the elderly patients and reduce the mortality.Preoperative strictly grasping the surgical indications, and making the preoperative prepara-tion adequate, intraoperative accurately positioning and puncturing, tightly X-ray detecting in the key step, and paying close attention to the patient's symptoms and vital signs, etc.which could effectively prevent the occurrence of serious complications and raise the successful rate of operation.关键词
经皮穿刺椎体成形术(PVP)/高龄/骨质疏松/压缩性骨折Key words
Percutaneous vertebroplasty (PVP)/Elderly/Osteoporosis/Compression fracture分类
医药卫生引用本文复制引用
丁小科,黄绍贤,陈志军,郑金财,黎树佳,邓征智..经皮穿刺椎体成形术治疗高龄骨质疏松性胸腰椎压缩性骨折的疗效观察[J].中国伤残医学,2016,24(22):6-7,8,3.
