[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].journal interventional radiology,2009,(10):740.
点击复制

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()

PDF下载中关闭

分享到：

《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

相似文献/References:

[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,(10):417.
[2]何仕诚,滕皋军,方文,等.椎体成形术中同轴活检的应用[J].介入放射学杂志,2008,(11):796.
　HE Shicheng,TENG Gaojun,FANG Wen,et al.Coaxial biopsy of vertebral body during percutaneous vertebroplasty[J].journal interventional radiology,2008,(10):796.
[3]葛坤元,倪才方.经皮椎体成形术后相邻椎体的新发骨折[J].介入放射学杂志,2008,(12):903.
　GE Kunyuan,NI Caifang.New adjacent vertebral body fracture after percutaneous vertebroplasty[J].journal interventional radiology,2008,(10):903.
[4]王卫国,吴春根,程永德,等.前外侧经C２－３椎间盘穿刺经皮椎体成形术治疗枢椎病理性骨折一例[J].介入放射学杂志,2010,(02):165.
　WANG Weiguo,WU Chungen,CHENG Yongde,et al.Percutaneous vertebroplasty through anterolateral puncture via C２－C３disc space for axis pathologic fracture：report of one case[J].journal interventional radiology,2010,(10):165.
[5]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,(10):326.
[6]狄镇海,谭中宝,张 建,等.ＣＴ图像参考下单侧入路经皮椎体成形术的探讨[J].介入放射学杂志,2011,(07):548.
　DI Zhen-hai,TAN Zhong-bao,ZHANG Jian,et al.Percutaneous vertebroplasty via unilateral transpedicular approach guided by preoperative CT image[J].journal interventional radiology,2011,(10):548.
[7]田庆华,吴春根,顾一峰,等.经皮椎体成形术治疗全胸腰椎骨质疏松性压缩骨折一例[J].介入放射学杂志,2011,(09):727.
　TIAN Qing-hua,WU Chun-gen,GU Yi-feng,et al.Percutaneous vertebroplasty for the treatment of whole thoracic and lumber osteoporotic vertebral compression fractures: report of one case[J].journal interventional radiology,2011,(10):727.
[8]王卫国,吴春根,程永德,等.射频消融术联合经皮椎体成形术治疗脊柱转移性肿瘤[J].介入放射学杂志,2009,(05):362.
　WANG Wei-guo,WU Chun-gen,CHENG Yong-de,et al.Radiofrequency ablation combined with percutaneous vertebroplasty for the treatment of spinal metastases[J].journal interventional radiology,2009,(10):362.
[9]张继,吴春根,程永德,等.经皮椎体成形术治疗症状性椎体血管瘤远期疗效分析[J].介入放射学杂志,2007,(10):676.
　ZHANG Ji,WU Chun-gen,CHENG Yong-de,et al.Long term follow-up study of symptomatic vertebral hemangiomas treated by percutaneous vertebroplasty[J].journal interventional radiology,2007,(10):676.
[10]王路昌,吴春根,程永德.经皮椎体成形术治疗骨质疏松性椎体压缩性骨折的现状及问题[J].介入放射学杂志,2011,(05):417.
　WANG Lu-chang,WU Chun-gen,CHENG Yong-de..The current situation and related problems of percutaneous vertebroplasty in clinical treatment of osteoporosis vertebral compression fracture[J].journal interventional radiology,2011,(10):417.

备注/Memo

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