经皮椎体成形术在创伤性椎体压缩骨折中的应用

摘要

目的 探讨外伤性椎体压缩骨折经皮椎体成形术(PVP)的技术操作和临床疗效.方法 对25例创伤性椎体压缩骨折患者共39个椎体在X线数字减影血管造影(DSA)监视下行PVP.结果 25例手术全部成功,注入Ⅲ型丙烯酸树脂骨水泥2～5 mL,平均3.5 mL,骨水泥渗漏率为17.9%(7/39),均未发生神经压迫症状,术后3个月随访显示症状完全缓解84%,部分缓解8%,轻微缓解8%.结论 采用PVP治疗创伤性椎体压缩骨折疗效显著,操作简便,值得临床推广应用.%Objective To explore technological operation and clinical therapeutic effects of percutaneous vertebroplasty(PVP) in traumatic vertebral compression fractures. Methods PVP was performed under X-ray digital subtraction angiography(DSA) monitoting in 25 patients with traumatic vertebral compression fractures in 39 vertebrae. Results All 25 cases of PVP were successful.Injection volume of acrylic bone cement type Ⅲ was 2-5 mL, an average of 3. 5 mL, permeability of bone cement was 17.9％ (7/39) ,with no symptoms of nerve compression occurred. The follow-up visit revealed that 84％ patients had shown complete remission of symptoms three months after operation, with 8 ％ of patients showing partial remission and 8 ％ slight remission. Conclusion In treatment of traumatic vertebral compression fractures, PVP is an notably efficient, easy and convenient operation which worth being recommended.