[1]史丽娜,吴春根,李文彬,等.椎体压缩性骨折MRI信号特点与PVP术后疗效相关性分析[J].介入放射学杂志,2011,(01):32-36.
　SHI Li-na,WU Chun-gen,LI Wen-bin,et al.Correlation between preprocedural MRI findings and the clinical effects of percutaneous vertebroplasty in osteoporotic vertebral compression fractures[J].journal interventional radiology,2011,(01):32-36.
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2011年01期
页码:
32-36
栏目:
非血管介入
出版日期:
2011-01-15

文章信息/Info

Title:
Correlation between preprocedural MRI findings and the clinical effects of percutaneous vertebroplasty in osteoporotic vertebral compression fractures
作者:
史丽娜;  吴春根;  李文彬;  茅爱武;  顾一峰;  张培蕾;  王 珏;  程永德
200233 上海交通大学附属第六人民医院放射科；上海市长宁区同仁医院
Author(s):
SHI Li-na;  WU Chun-gen;  LI Wen-bin;  MAO Ai-wu;  GU Yi-feng;  ZHANG Pei-lei;  WANG Jue;  CHENG Yong-de.
Department of Radiology, the Affiliated Sixth People’s Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200233, China
关键词:
骨质疏松性椎体压缩性骨折;  经皮椎体成形术;  核磁共振;  骨髓水肿
分类号:
Ｒ６８３.２
文献标志码:
Ａ
摘要:
目的　　　分析骨质疏松性椎体压缩骨折（ＯＶＣＦ）术前ＭＲＩ信号特点及比较经皮椎体成形术（ＰＶＰ）术前、术后疼痛状及功能障碍改善情况，以探索ＯＶＣＦ的ＭＲＩ信号特点和ＰＶＰ疗效的相关性。方法 回顾性分析５２例患者，１１６节椎体ＰＶＰ治疗的临床及影像学资料。术前及术后进行视觉模拟疼痛评分（ＶＡＳ）及Ｏｓｗｅｓｔｙ功能障碍指数评价，并观察其并发症情况。根据ＭＲＩ骨髓水肿的程度和范围将其分为部分骨髓水肿（Ａ组）、完全骨髓水肿（Ｂ组）和无骨髓水肿（Ｃ组），然后比较３组术前、术后疼痛和功能障碍情况。结果　　　３组间术前ＶＡＳ差异无统计学意义（Ｐ　＞　０．０５），术后疼痛缓解程度及功能改善程度差异有统计学意义（Ｐ　＜　０．０５）。Ａ、Ｂ组与Ｃ组比较疼痛缓解明显，Ｂ组比Ａ组疼痛缓解程度大，表明骨髓水肿范围越大，ＰＶＰ治疗后疼痛缓解程度越大。结论 ＰＶＰ是治疗ＯＶＣＦ的有效方法，ＭＲＩ信号特点对于ＯＶＣＦ治疗效果有一定的预测价值，有骨髓水肿比无骨髓水肿治疗效果好，且水肿范围越大，ＰＶＰ治疗后疼痛缓解程度越大。

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期：２０１００８０４
更新日期/Last Update: 2011-01-15