经皮椎体成形术治疗老年性胸腰椎压缩性骨折(附127例报告)

摘要

目的 探讨经皮椎体成形术(PVP)治疗老年性胸腰椎压缩性骨折的临床效果.方法 2007年3月～2010年10月间,对127例胸腰椎压缩性骨折患者在C臂透视下行PVP治疗并进行随访,手术前后疼痛程度应用疼痛视觉模拟评分和MiGill-Melzack疼痛分级法评分.结果 平均随访时间为10个月,相对于术前、术后及随访时VAS评分、MiGill-Melzack评分(P＜0.05)及生活质量的评估明显改善.结论 PVP治疗老年性胸腰椎压缩性骨折可达到疼痛缓解、加强椎体硬度,是创伤小,疗效满意,能够提高患者生活质量的有效方法.%Objective To investigate the clinical effect of percutaneous vertebroplasty (PVP) in the treatment of elderly thoracolumbar vertebral compression fractures. Method From Mar 2007 to Oct 2010, the 127 cases of patients with thoracolumbar vertebral compression fractures in the C-arm X-ray therapy and were followed down PVP before and after surgery pain visual analog pain scores and application MiGill-Melzack pain points Class Act score. Results The average follow-up time was 10 months, compared to preoperative. Postoperative and follow-up VAS score, MiGill-Melzack score (P<0.05 ) and significantly improved quality of life assessment. Conclusion PVP is the treatment of elderly thoracic and lumbar vertebral compression fractures can be achieved pain relief, to enhance the hardness and vertebral trauma, results were satisfactory, can improve the quality of life of patients and effective method.