[1]马永红,何仕诚,腾皋军,等.椎体成形术治疗骨质疏松性椎体压缩骨折的生命质量评价[J].介入放射学杂志,2007,(05):326.
　MA Yong-hong,HE Shi-cheng,TENG Gao-jun,et al.Percutaneous vertebroplasty for osteoporotic painful vertebral compression fractures a quality of life assessment[J].journal interventional radiology,2007,(05):326.
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椎体成形术治疗骨质疏松性椎体压缩骨折的生命质量评价()

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

卷:
期数:
2007年05期
页码:
326
栏目:
非血管介入
出版日期:
2007-05-15

文章信息/Info

Title:
Percutaneous vertebroplasty for osteoporotic painful vertebral compression fractures a quality of life assessment
作者:
马永红; 何仕诚; 腾皋军; 等
２１０００９南京东南大学临床医学院附属中大医院放射科
Author(s):
MA Yong-hong; HE Shi-cheng; TENG Gao-jun; DENG Gang; FANG Wen; GUO Jin-he; ZHU Guang-yu; LI Guo-Zhuo．
Department of Radiology，Zhongda Hospital，Southeast University，Nanjing２１０００９，China
关键词:
经皮椎体成形术; 骨质疏松症; 椎体压缩性骨折; 生命质量
分类号:
R６８３.２
文献标志码:
A
摘要:
目的评价经皮椎体成形术（PVP）治疗骨质疏松性椎体压缩骨折的长期生活质量。方法随访PVP治疗骨质疏松性椎体压缩骨折患者１８３例，获得完整随访资料２５例，用形象类比（VAS）评价术前、术后不同时期的疼痛程度，用日常生活自理能力（ADL）和下腰部功能活动障碍（OLBPDQ）量表分别观察患者术前、术后大于１年的生活质量，并观察骨水泥渗漏对生命质量的影响。结果术后末次随访平均３６．５个月（１３～４２个月）。术前、术后１d、３、６个月及１年以上随访时VAS疼痛分值分别为８．９６±１．１１、４．５８±２．５６、３．１６±２．２８、２．１１±０．２７、１．６３±０．２１；ADL量表（Barthel指数）术前、术后分别为５４．３４±１３．２１、８４．２８±１８．３０，较术前提高了５５％；OLBPDQ量表穴ODI指数雪术前、术后分别为２５．６４±１３．８４、１７．５２±１０．７１，较术前下降了３２％。两组间P值均＜０．０５。术后CT证实少量骨水泥渗漏５例，平均随访３２个月均无临床症状。结论PVP术治疗骨质疏松性椎体压缩骨折不仅可迅速缓解患者疼痛，而且可长期提高患者生活质量；少量无症状的骨水泥渗漏对患者长期生命质量无明显影响。

参考文献/References:

［１］Division of Mental Health．Field trial WHOQOL-１００：The１００questions with response scales WHO，Geneva，１９９５．
［２］Mathis JM，Balt JD，Belkoff SM，et al．Percutaneous vertebro-plasty：a developing standard of care for vertebral compression fractures［J］．AJNR，２００１，２２：３７３-３８１．
［３］孙钢，金鹏，易玉海，等．椎体后凸成形术治疗老年骨质疏松性椎体压缩骨折［J］．介入放射学杂志，２００６，１５：４１０-４１２．
［４］何仕诚，滕皋军，邓刚，等．再次椎体成形术的应用［J］．介入放射学杂志，２００５，１４：２７０-２７３．
［５］何仕诚，滕皋军，邓钢，等．经皮椎体成形术治疗骨质疏松性椎体压缩骨折［J］．临床放射学杂志，２００３，２２：９５２-９５７．
［６］滕皋军，何仕诚，邓钢，主编．经皮椎体成形术［M］．南京：江苏科技出版社，第１版，２００５：１４５-１６３．
［７］何仕诚，滕皋军，邓钢，等．椎体成形术治疗合并囊腔样变的骨质疏松性椎体压缩骨折［J］．介入放射学杂志，２００５，１４：２５６-２６０．
［８］Perez-Higueras A，Alvarez L，Rossi RE，et al．Percutaneous vertebroplasty：long-term clinical and radiological outcome［J］．Neuroradiology，２００２，４４：９５０-９５４．
［９］Diamond TH，Bryant C，Browne L，et al．Clinical outcomes after acute osteoporotic vertebral fratures：a２-year non-randomised trial comparing PVP with conservative therapy［J］．MJA，２００６，１８４：１１３-１１７．
［１０］Lips P，Van-schoor NM．Quality of life in patients with osteopo-rosis［J］．Osteoporos Int，２００５，１６：４４７-４５５．
［１１］Fairbank J，Pynsent P．The Oswestry disability index［J］．Spine，２０００，２５：２９４０-２９５３．
［１２］Winking M，Stahl JP，Oertel M，et al．Treatment of pain from osteo-porotic vertebral collapse by percutaneous PMMA verteb-roplasty［J］．Acta Neurochir，２００４，１４６：４６９-４７６．
［１３］Zoarski GH，Snow P，Olan WJ，et al．Percutaneous vertebroplasty for osteoporotic compression Fractures：quantitative prospective evaluation of long-term outcomes［J］．J Vasc Interv Radiol，２００２，１３：１３９-１４８．
［１４］Do HM，Kim BS，Marcellus ML，et al．Prospective analysis of clin-ical outcomes after percutaneous vertebroplasty for painful osteoporotic vertebral body fractures［J］．AJNR，２００５，２６：１６１０-１６１１．
［１５］Laredo JD，Hamze B．Complications of percutaneous vertebroplasty and their prevention［J］．Skeletal Radiol，２００４，３３：４９３-５０５．
［１６］何仕诚，牛焕章，邓刚，等．经皮椎体成形术与后凸成形术并发症的对比分析［J］．介入放射学杂志，２００５，１４：３１７-３２０．
［１７］方积乾，万崇华，郝元涛．与健康有关的生活质量的研究概况［J］．中国康复医学杂志，２０００，１５：４０-４３．
［１８］Ploeg WT，Veldhuizen AG，The B，et al．Percutaneous verteb-roplasty as a treatment for osteoporotic vertebral compression fractures：a systematic review［J］．Eur Spine J，２００６，６：［Epub ahead of print

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备注/Memo

备注/Memo:
收稿日期：２００６-１１-２２
基金项目：江苏省卫生厅２００５年度面上项目（H２００５３９）
更新日期/Last Update: 2007-05-15