[1]王涛,吴春根,程永德,等.经皮椎体成形术治疗慢性症状性椎体压缩骨折的临床应用[J].介入放射学杂志,2009,(10):740.
　WANG Tao,WU Chungen,CHENG Yongde,et al.Clinical application of percutaneous vertebroplasty in the treatment of chronic symptomatic osteoporotic vertebral compression fractures[J].J Intervent Med,2009,(10):740.
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经皮椎体成形术治疗慢性症状性椎体压缩骨折的临床应用()

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

卷:
期数:
2009年10期
页码:
740
栏目:
非血管介入
出版日期:
2009-10-15

文章信息/Info

Title:
Clinical application of percutaneous vertebroplasty in the treatment of chronic symptomatic osteoporotic vertebral compression fractures
作者:
王涛; 吴春根; 程永德; 等
２００２３３上海交通大学附属第六人民医院放射科
Author(s):
WANG Tao; WU Chun－gen; CHENG Yong－de; GU Yi－feng; ZHU Xue－e; WANG Jue; WANG Wu
Department of Radiology，the Affiliated Sixth People’s Hospital，Shanghai Jiaotong University，Shanghai２００２３３，China
关键词:
经皮椎体成形术; 骨质疏松; 慢性椎体压缩骨折
分类号:
R６８３.２
文献标志码:
A
摘要:
目的对伤后３个月以上的骨质疏松性椎体压缩性骨折患者行经皮椎体成形术（PVP），观察患者症状改善及并发症情况。方法对２００６年５月至２００８年５月行PVP术的２２例患者进行随访，根据MRI 表现分为骨髓水肿组（组Ⅰ）和无骨髓水肿组（组Ⅱ），手术前后给予视觉模拟评分（VAS），比较不同骨折时间的VAS变化的差异，了解并发症的发生及患者的主观满意度。结果平均随访时间１２．２个月，术前VAS评分组Ⅰ为７．７７±０．７３，组Ⅱ为７．４４±０．８８，总体为７．６３±０．７９。术后１d VAS评分，组Ⅰ为３．６１±０．５１，组Ⅱ为３．８８±０．６０，总体为３．７２±０．５５。随访时VAS评分组Ⅰ为３．４６±１．０５，组Ⅱ为３．５６±０．７３，总体为３．５０±０．９１。所有患者无骨水泥渗漏造成的神经压迫等并发症，手术的主观满意度良好（约９０．９％）。结论对于慢性症状性骨质疏松性椎体压缩骨折患者，PVP是一种有效、安全的疗法；MRI 对于病变的评估非常重要，术前MRI 出现骨髓水肿信号的患者疗效更显著。

参考文献/References:

［１］Galibert P，Deramond H，Rosat P，et al．Preliminary note on the treatment of vertebral angioma by percutaneous acrylic vertebroplasty［J］．Neurochirurgie，１９８７，３３：１６６－１６８．
［２］Garfin SR，ReilleyMA．Minimally invasive treatment of osteopo－rotic vertebral b

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备注/Memo

备注/Memo:
收稿日期：２００９－０２－２５
更新日期/Last Update: 2009-10-15