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[1]郭俊彪,王慧敏,鄧曉強(qiáng),等.脊神經(jīng)后支封閉聯(lián)合經(jīng)皮椎體后凸成形術(shù)治療Ⅰ、Ⅱ期Kmmell病腰背部疼痛[J].中醫(yī)正骨,2018,30(06):50-52.
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脊神經(jīng)后支封閉聯(lián)合經(jīng)皮椎體后凸成形術(shù)治療Ⅰ、Ⅱ期Kümmell 病腰背部疼痛()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第30卷
期數(shù):
2018年06期
頁(yè)碼:
50-52
欄目:
kümmell病
出版日期:
2018-06-20

文章信息/Info

作者:
郭俊彪; 王慧敏; 鄧曉強(qiáng); 黃磺
廣東省中醫(yī)院,廣東 廣州 510120
關(guān)鍵詞:
腰痛;  脊柱骨折;  Kü; mmell病;  脊神經(jīng);  封閉療法;  椎體后凸成形術(shù)
文獻(xiàn)標(biāo)志碼:
A
摘要:
目的:觀察脊神經(jīng)后支封閉聯(lián)合經(jīng)皮椎體后凸成形術(shù)(percutaneous kyphoplasty,PKP)治療Ⅰ、Ⅱ期Kümmell病腰背部疼痛的臨床療效。方法:2014年11月至2016年11月收治20例Ⅰ、Ⅱ期Kümmell病患者。男7例,女13例; 年齡65～83歲,中位數(shù)73歲; 均為單椎體病變,T12椎體骨折7例、L1椎體骨折8例、L2椎體骨折3例、L3椎體骨折2例。所有患者均不合并嚴(yán)重內(nèi)科疾病,近2周內(nèi)未服用過(guò)止痛藥物。均采用脊神經(jīng)后支封閉聯(lián)合PKP治療,術(shù)前、術(shù)后常規(guī)進(jìn)行抗骨質(zhì)疏松治療,但均不使用止痛藥物。結(jié)果:所有患者均順利完成手術(shù)。14例患者在穿刺過(guò)程中出現(xiàn)腰背部疼痛及大腿外側(cè)疼痛,但未向大腿前側(cè)及小腿放射,術(shù)后疼痛均明顯緩解,2例殘余輕度疼痛。術(shù)前、術(shù)后1 d、術(shù)后1個(gè)月時(shí),患者的腰背部疼痛視覺模擬評(píng)分分別為(6.58±1.79)分、(1.55±1.26)分、(1.48±0.87)分,Oswestry功能障礙指數(shù)分別為(64.38±9.89)%、(21.08±7.02)%、(13.69±3.02)%。結(jié)論:脊神經(jīng)后支封閉聯(lián)合PKP可有效減輕Ⅰ、Ⅱ期Kümmell病患者的腰背部疼痛癥狀。

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更新日期/Last Update: 2018-10-30