[1]李 卉,顾一峰,李永东,等. 比较经皮椎体成形术与保守治疗对慢性疼痛性骨质疏松性椎体骨折患者疗效的非随机前瞻性试验[J].介入放射学杂志,2012,(11):921-926.
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 比较经皮椎体成形术与保守治疗对慢性疼痛性骨质疏松性椎体骨折患者疗效的非随机前瞻性试验 ()

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

卷:
期数:
2012年11期
页码:
921-926
栏目:
非血管介入
出版日期:
2012-11-28

文章信息/Info

作者:
 李 卉 顾一峰 李永东 吴春根 李明华 宋红梅
关键词:
 【关键词】 骨质疏松性椎体压缩骨折 疼痛 经皮椎体成形术 保守治疗
文献标志码:
A
摘要:
  【摘要】 目的 比较经皮椎体成形术(PVP)和保守治疗对慢性疼痛性骨质疏松性椎体骨折患者在疼痛缓解和功能恢复方面的疗效。方法 81例患者分成两组,分别施行PVP(n = 41,A组)或保守治疗(n = 40,B组)。患者均经MRI证实患有慢性压缩性骨折,且疼痛持续在3个月或以上。观察两组患者在治疗后1周,1、3、6个月和1年的疼痛缓解和功能恢复情况。结果 共有71例(A组37例和B组34例)完成了1年随访评估。通过在1周,1、3、6个月和1年的视觉模拟评(VAS)评分、功能障碍指数评分、欧洲基金会关于骨质疏松症的生活品质问卷评分和罗兰莫里斯残疾评分显示,A组在疼痛缓解和功能恢复方面显著优于B组,各时间点两组差异均有统计学意义(P均 < 0.01)。最终的临床随访评估中A组有30例、B组13例患者疼痛达到完全缓解(P < 0.01)。结论 PVP在治疗慢性压缩性骨折和持续性疼痛的缓解及功能恢复方面优于保守治疗。

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备注/Memo

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 (收稿日期:2012?鄄07?鄄05)
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