本文選題：骨填充網(wǎng)袋　切入點(diǎn)：椎體成形術(shù)　出處：《中國(guó)矯形外科雜志》2017年16期

【摘要】：[目的]觀察骨填充網(wǎng)袋椎體成形術(shù)治療老年胸腰椎骨質(zhì)疏松性骨折臨床療效觀察。[方法]老年胸腰椎骨質(zhì)疏松性骨折23例共31椎體,采用骨填充網(wǎng)袋椎體成形術(shù)治療,觀察VAS評(píng)分、傷椎體高度壓縮恢復(fù)率及Cobb角變化,隨訪至術(shù)后6個(gè)月。[結(jié)果]VAS評(píng)分由術(shù)前的(7.60±1.00)分,降至術(shù)后7 d的(2.70±0.70)分;術(shù)前傷椎前緣高度為(45.30±11.60)%,椎體中部高度為(47.80±12.50)%,術(shù)后7 d分別提高至(72.10±13.50)%、(73.70±15.40)%;術(shù)前椎后凸畸形角(19.30±6.20)°,術(shù)后7 d降低至(14.30±3.50)°;術(shù)前VAS評(píng)分、傷椎前緣高度、椎體中部高度、椎體后凸畸形角,與術(shù)后7 d,1、6個(gè)月比較差異有統(tǒng)計(jì)學(xué)意義(P0.01)。發(fā)生骨水泥滲漏1例(4.3%)。[結(jié)論]骨填充網(wǎng)袋結(jié)合椎體成形術(shù)治療老年胸腰椎骨質(zhì)疏松性骨折,能有效恢復(fù)傷椎高度,快速止痛,且骨水泥滲漏發(fā)生率低,安全可靠。
[Abstract]:[objective] to observe the clinical effect of bone-filled pouch vertebroplasty in the treatment of senile thoracolumbar osteoporotic fracture. [methods] Twenty-three cases of senile thoracolumbar osteoporotic fracture were treated with bone-filled pouch vertebroplasty. VAS score, recovery rate of high compression of injured vertebral body and change of Cobb angle were observed and followed up to 6 months after operation. [results] VAS score decreased from 7.60 鹵1.00 before operation to 2.70 鹵0.70 at 7 days after operation. The anterior height of the injured vertebrae was 45.30 鹵11.60 擄, the height of the middle part of the vertebral body was 47.80 鹵12.50, which was increased to 72.10 鹵13.50 鹵73.70 鹵15.40 擄on the 7th day after operation, the angle of the kyphosis was 19.30 鹵6.20 擄before operation and decreased to 14.30 鹵3.50 擄on the 7th day after operation; the preoperative VAS score showed the height of the anterior edge of the injured vertebra, the height of the middle vertebral body, the angle of kyphosis deformity. There was a significant difference between 7 days and 6 months after operation (P 0.01). Bone cement leakage occurred in 1 case (4.3%). [conclusion] the treatment of osteoporotic fracture of thoracolumbar vertebrae with bone pouch combined with vertebroplasty can effectively recover the height of injured vertebrae and relieve pain quickly. And the incidence of bone cement leakage is low, safe and reliable.
【作者單位】： 廣西來(lái)賓市人民醫(yī)院脊柱外科;
【分類號(hào)】：R687.3

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