[1]王革芳,吴春根,张继,等.经皮椎体成形术在多节段椎体骨折中的应用[J].介入放射学杂志,2008,(06):417.
 WANG Gefang,WU Chungen,ZHANG Ji,et al.Percutaneous vertebroplasty for multi-level osteoporotic vertebral compression fractures[J].journal interventional radiology,2008,(06):417.
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经皮椎体成形术在多节段椎体骨折中的应用()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2008年06期
页码:
417
栏目:
非血管介入
出版日期:
2008-06-15

文章信息/Info

Title:
Percutaneous vertebroplasty for multi-level osteoporotic vertebral compression fractures
作者:
王革芳吴春根张继
200052上海解放军第八五医院肿瘤科(王革芳、程永德);上海交通大学附属第六人民医院放射科(吴春根、张继、顾一峰、李明华)
Author(s):
WANG Ge-fangWU Chun-genZHANG JiGU Yi-fengCHENG Yong-deLI Ming-hua.
Oncology Department ,85th Hospital,PLA,Nanjing Military District,Shanghai200051,China
关键词:
经皮椎体成形术多节段骨质疏松性压缩骨折
分类号:
R683.2
文献标志码:
A
摘要:
目的探讨经皮椎体成形术(PVP)治疗多节段骨质疏松性椎体压缩骨折的安全性及疗效。方法回顾性分析PVP治疗骨质疏松性椎体压缩骨折患者86例,其中23例患者为多节段椎体骨折。分析患者术前、术中、术后的临床及影像学资料。采用模拟视觉评分(VAS)及Oswesty功能障碍指数(ODI )评价术后疼痛缓解及日常活动功能恢复情况。结果19例患者一次手术完成3节椎体,4例患者一次手术完成4节椎体。3例患者术中出现一过性血压升高和呼吸困难。术前VAS评分及ODI 值平均8.58±1.12、81.43±12.54,术后1d平均为3.03±0.98、31.04±11.11,疼痛缓解及日常活动功能恢复显著。5例患者1年内出现再发椎体压缩骨折。13节椎体发生骨水泥外漏。结论PVP是治疗多节段骨质疏松性椎体压缩骨折安全、有效的方法。必须注意脂肪栓塞并发症,一次手术至多完成3节椎体。

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备注/Memo

备注/Memo:
收稿日期:2008-03-24
更新日期/Last Update: 2008-06-15