经皮穿刺椎体成形术治疗老年性骨质疏松性椎体压缩骨折的疗效分析

　　摘   要：目的  探究經皮穿刺椎体成形术治疗老年性骨质疏松性椎体压缩骨折的疗效。方法  选取我院于2015年7月～2017年7月收治的18例老年性骨质疏松性椎体压缩骨折作为本次临床研究资料，18例患者共有23个椎体，胸椎10个，腰椎13个。为所有患者行经皮穿刺椎体成形术，评价患者在术后的活动能力、视觉类评分，并与患者术前相应评分进行对比，同时对患者进行出院后的随访。结果  18例患者在接受经皮穿刺椎体成形术后，23个椎体全部手术成功。且术前患者视觉类评分为（7.2±0.9）分，而术后仅为（2.1±1.2）分，大部分患者在术后24 h内疼痛消失明显，活动能力与术前明显高于术前，差异均有统计学意义（P<0.05）。另外随访12个月后显示患者对手术治疗总满意度达94.40%。结论  在治疗老年性骨质疏松性椎体压缩骨折时，采用经皮穿刺椎体成形术方式操作相对简单，且疗效明显，因而效果更加理想，建议在临床治疗中使用该种方法。
　　关键词：经皮穿刺椎体成形术;老年性;骨质疏松;椎体压缩骨折
　　中图分类号：R687.3                                  文献标识码：B                                DOI：10.3969/j.issn.1006-1959.2018.05.070
　　文章编号：1006-1959（2018）05-0186-03
　　The Effect of Percutaneous Vertebroplasty in the Treatment of Senile Osteoporotic Vertebral Compression Fracture
　　LIU Xiao-hua
　　（Department 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

相关热词搜索：椎体 穿刺 骨折 疗效 骨质疏松