本文選題：經皮椎體成形術　切入點：骨質疏松癥　出處：《山東中醫(yī)藥大學》2015年碩士論文　論文類型：學位論文

【摘要】：目的:通過分析經皮穿刺椎體成形術(Percutaneous Vertebroplasty,PVP)對骨質疏松性椎體壓縮骨折治療效果的相關資料,研究影響術后效果的因素,以提高PVP的臨床療效。方法:對2013年9月至2014年9月120例有完整資料的經PVP治療患者進行研究,分別記錄患者年齡、性別、骨折原因、骨折椎體數目、骨折椎體部位、骨密度等一般資料,記錄手術中骨水泥注入量、是否發(fā)生骨水泥滲漏、椎體高度、cobb角、不同時間段VAS評分(視覺模擬評分)等,并對以上因素進行統(tǒng)計學分析。結果:術后120例患者隨訪4~8個月(平均6.7個月)。其中17名患者術后效果欠佳:6例術后癥狀緩解不明顯,為胸椎壓縮骨折,疼痛向脅肋部放射;5例術后活動時仍有腰背部疼痛,都有明顯的外傷史;4例術后穿刺部位疼痛,術中有穿刺針位置反復調整或雙側反復椎弓根穿刺;2例術后癥狀緩解不明顯,患者有嚴重的骨質疏松癥且骨折椎體壓縮率超過85%;8例在隨訪期間出現鄰近椎體再骨折。結論:PVP治療骨質疏松性椎體壓縮骨折療效確切,是一種針對骨質疏松性椎體壓縮骨折的安全有效的治療方法。仍有術后效果不佳者,嚴重骨質疏松癥、骨水泥分布不均勻、骨折陳舊、胸椎骨折疼痛向雙肋部放射者效果不佳。
[Abstract]:Objective: to analyze the data of percutaneous Vertebroplasty (Vertebroplasty) in the treatment of osteoporotic vertebral compression fracture, and to study the factors influencing the postoperative outcome. Methods: from September 2013 to September 2014, 120 patients treated with PVP were studied. Age, sex, fracture cause, number of fracture vertebrae, site of fracture vertebral body were recorded respectively. Bone mineral density and other general data, bone cement injection volume, whether bone cement leakage occurred, vertebral height and Cobb angle, VAS score (visual analogue score) in different periods of time were recorded, and so on. Results: 120 patients were followed up for 4 ~ 8 months (mean 6.7 months). There were 5 cases of pain radiating to the side of the flank, 5 cases still had pain in the waist and back, 4 cases had obvious traumatic history and 4 cases had pain in the puncture site, and 2 cases had repeated adjustment of puncture needle position or bilateral recurrent pedicle puncture in 2 cases, the symptom relief was not obvious after operation. Eight patients with severe osteoporosis and fracture vertebral compression rate over 85% had refracture of adjacent vertebral body during follow-up. Conclusion the treatment of osteoporotic vertebral compression fracture with PVP is effective. It is a safe and effective treatment for osteoporotic vertebral compression fracture. There are still patients with poor postoperative effect, severe osteoporosis, uneven distribution of bone cement, old fracture, chest fracture pain radiating to double ribs.
【學位授予單位】：山東中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2015
【分類號】：R687.3

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1 劉殿超;骨質疏松性壓縮骨折經皮穿刺椎體成形術后效果不佳的原因分析[D];山東中醫(yī)藥大學;2015年

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本文編號：1621185