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[1]陳文紅,陳建常,馬在松,等.球囊擴張椎體后凸成形術(shù)治療骨質(zhì)疏松性椎體壓縮骨折[J].中醫(yī)正骨,2012,24(07):62-63.
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球囊擴張椎體后凸成形術(shù)治療骨質(zhì)疏松性椎體壓縮骨折()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第24卷
期數(shù):
2012年07期
頁碼:
62-63
欄目:
臨床報道
出版日期:
2012-07-30

文章信息/Info

作者:
陳文紅陳建常馬在松張春浩
中國人民解放軍蘭州軍區(qū)烏魯木齊總醫(yī)院,新疆 烏魯木齊 830000
關(guān)鍵詞:
脊柱骨折 骨折壓縮性 椎體成形術(shù) 骨質(zhì)疏松
摘要:
目的:觀察球囊擴張椎體后凸成形術(shù)治療骨質(zhì)疏松性椎體壓縮骨折的療效和安全性。方法:應(yīng)用球囊擴張椎體后凸成形術(shù) 治療椎體壓縮性骨折患者128 例152椎,男36例,女92例; 年齡58~89歲,中位數(shù)73.5歲。椎體受累節(jié)段:T63 節(jié),T74節(jié),T84節(jié),T95節(jié),T106節(jié),T1118節(jié),T1237 節(jié),L141節(jié),L223節(jié),L36節(jié),L45節(jié)。術(shù)后觀察疼痛緩解及椎體高度恢復(fù)情況。 結(jié)果:128例患者,均行脊椎雙側(cè)骨水泥灌注,單節(jié)椎體骨水泥灌注量為2.8~6.3 mL,中位數(shù)4.3 mL; 均獲隨訪,隨訪時間7~13月, 中位數(shù)9.5個月。術(shù)后腰背部疼痛消失95例; 腰背部持續(xù)鈍痛,3~6 d后消失28例; 疼痛無明顯緩解5例。疼痛視覺模擬評分術(shù)前 7~10分,中位數(shù)8.5分; 術(shù)后0~4分,中位數(shù)2.5分。傷椎前緣高度術(shù)前13~17 mm,中位數(shù)15.5 mm; 術(shù)后21~25 mm,中位數(shù)23.5 mm; 后凸角術(shù)前28°~30°,中位數(shù)29.5°; 術(shù)后14°~17°,中位數(shù)15.5°。均無感染及其他組織損傷發(fā)生; 骨水泥側(cè)漏8例, 但未出現(xiàn)明顯臨床癥狀。結(jié)論:球囊擴張椎體后凸成形術(shù)治療骨質(zhì)疏松性椎體壓縮骨折具有可有效緩解疼痛、恢復(fù)椎體高度、術(shù) 后并發(fā)癥少的優(yōu)點,可作為治療該病的首選方法。

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備注/Memo

備注/Memo:
2011-11-08收稿 2012-06-09修回
更新日期/Last Update: 2012-07-30