目的：探讨单侧通道椎体后凸成形术治疗骨质疏松脊柱压缩性骨折的临床效果。方法选择2012-01—2012-12间收治的骨质疏松脊柱压缩性骨折患者42例，行单侧通道椎体后凸成形术，观察患者的治疗效果及疼痛评分等指标。结果患者治疗后椎体高度（26.94±12.35）mm，显著优于治疗前（15.23±5.32）mm，差异有统计学意义（P﹤0.05）；治疗后疼痛评分（1.01±0.21）分，明显低于治疗前（7.64±1.34）分，差异有统计学意义（P﹤0.05）。患者出院后随访6~12个月，平均8.7个月，42例患者未发生感染及血管栓塞等并发症，术后3d下床活动，7d后出院。1a后复查，患者骨水泥充盈良好。结论骨质疏松脊柱压缩性骨折采用单侧通道椎体后凸成形术治疗，疗效可靠，值得临床推广。%Objective To investigate the clinical effect of unilateral passage kyphoplasty for osteoporotic vertebral compression frac-ture. Methods In our hospital January 2012-December 2012 admitted patients with osteoporotic spinal compression fracture 42 cases were done unilateral passage kyphoplasty,observe the patient's treatment and pain scores and other indicators. Results The patients treated vertebral height(26. 94 ± 12. 35)mm,significantly better than that before treatment(15. 23 ± 5. 32)mm,the difference was statistically significant (P﹤0. 05);After treatment pain score(1. 01 ± 0. 21)points,significantly lower than that before treatment(7. 64 ± 1. 34)points,the differ-ence was statistically significant(P﹤0. 05). Patients discharged 6~12 months follow-up,mean(8. 7 ± 3. 2)months,42 patients not infec-ted,and blood clots and other complications,postoperative ambulation 3 d,7 d discharged. A year later review,patients with bone cement fill-ing well. Conclusion unilateral passage kyphoplasty treatment for osteoporotic vertebral compression fractures is effective and reliable,worthy of promotion.
展开▼
