經(jīng)皮穿刺椎體成形術(shù)治療老年性骨質(zhì)疏松性椎體壓縮骨折的療效分析

　　摘   要：目的  探究經(jīng)皮穿刺椎體成形術(shù)治療老年性骨質(zhì)疏松性椎體壓縮骨折的療效。方法  選取我院于2015年7月～2017年7月收治的18例老年性骨質(zhì)疏松性椎體壓縮骨折作為本次臨床研究資料，18例患者共有23個椎體，胸椎10個，腰椎13個。為所有患者行經(jīng)皮穿刺椎體成形術(shù)，評價患者在術(shù)后的活動能力、視覺類評分，并與患者術(shù)前相應(yīng)評分進行對比，同時對患者進行出院后的隨訪。結(jié)果  18例患者在接受經(jīng)皮穿刺椎體成形術(shù)后，23個椎體全部手術(shù)成功。且術(shù)前患者視覺類評分為（7.2±0.9）分，而術(shù)后僅為（2.1±1.2）分，大部分患者在術(shù)后24 h內(nèi)疼痛消失明顯，活動能力與術(shù)前明顯高于術(shù)前，差異均有統(tǒng)計學(xué)意義（P<0.05）。另外隨訪12個月后顯示患者對手術(shù)治療總滿意度達94.40%。結(jié)論  在治療老年性骨質(zhì)疏松性椎體壓縮骨折時，采用經(jīng)皮穿刺椎體成形術(shù)方式操作相對簡單，且療效明顯，因而效果更加理想，建議在臨床治療中使用該種方法。
　　關(guān)鍵詞：經(jīng)皮穿刺椎體成形術(shù);老年性;骨質(zhì)疏松;椎體壓縮骨折
　　中圖分類號：R687.3                                  文獻標識碼：B                                DOI：10.3969/j.issn.1006-1959.2018.05.070
　　文章編號：1006-1959（2018）05-0186-03
　　The Effect of Percutaneous Vertebroplasty in the Treatment of Senile Osteoporotic Vertebral Compression Fracture
　　LIU Xiao-hua
　�。―epartment of Orthopaedics，Deyang Orthopaedics Hospital，Deyang 618000，Sichuan，China）
　　Abstract：Objective  To investigate the efficacy of percutaneous vertebroplasty in the treatment of senile osteoporotic vertebral compression fractures.Methods  18 cases of senile osteoporotic vertebral compression fractures were selected from July 2015 to July 2017 in our hospital.For this clinical study，there are 23 vertebrae in 18 patients.10 thoracic vertebrae and 13 lumbar vertebrae.Percutaneous vertebroplasty was performed for all patients.Postoperative activity and visual rating scale were evaluated and compared with preoperative scores.Meanwhile，patients were followed up after discharge.Results  After percutaneous vertebroplasty in 18 patients， all the 23 vertebral bodies were performed successfully.Preoperative visual perception score was（7.2±0.9），and postoperative was only（2.1±1.2）.Most patients had pain disappeared within 24 h after operation，and the activity ability was significantly higher than that before operation.The difference was statistically significant（P<0.05）.After 12 months of follow-up，the total satisfaction of patients with surgical treatment was 94.40%.Conclusion  Percutaneous vertebroplasty is relatively simple and effective in the treatment of senile osteoporotic vertebral compression fractures，so the effect is more ideal.It is recommended to use this method in clinical treatment.
　　Key words：Percutaneous vertebroplasty;Senile;Osteoporosis;Vertebral compression fracture

相關(guān)熱詞搜索：椎體 穿刺 骨折 療效 骨質(zhì)疏松