| 膨胀式椎体成形术治疗老年骨质疏松性椎体压缩骨折临床观察 |
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摘要点击次数: 1980
全文下载次数: 1424
投稿时间：2007-09-20
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| 期刊信息：《中国骨伤》2008年，第21卷，第6期，第405-406页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的：探讨Sky膨胀式椎体成形术治疗老年骨质疏松性椎体压缩骨折的临床疗效。
方法：15例(18椎)老年骨质疏松性椎体压缩骨折患者，应用Sky膨胀式椎体成形器进行椎体扩张，使用PMMA作为填充物重建骨折椎体，手术前后观察疼痛缓解程度(VAS法)变化，并对VAS评分进行统计学分析。
结果：15例手术均顺利，手术时间45～110 min,平均65 min.术后随访时间6～12个月，平均8个月。15例术前VAS评分平均为(7.7±1.1)分，术后3 d平均为(2.5±1.3)分，两者比较差异有统计学意义；随访6个月时VAS平均为(2.2±1.2)分。
结论：Sky膨胀式椎体成形术治疗老年骨质疏松性椎体压缩骨折，止痛效果满意，且操作简便、卧床时间短、并发症少。 |
| 【关键词】骨质疏松 胸椎 腰椎 骨折 骨科手术方法 |
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| Clinical study on the vertebral plasty for the treatment of osteoporotic vertebral compressed fractures in elderly |
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ABSTRACT
Objective: To study therapeutic effects of Sky-bone expander for the treatment of osteoporotic vertebral compressed fractures.
Methods: Fifteen patients(18 vertebrae)suffering from vertebral compression fractures were treated with Sky bone expander system which expanded and reconstructed the vertebral body with PMMA cement. The clinical effect was evaluated by observing the changing of visual analogue scale(VAS). The preoperative and postoperative mean VAS scores were compared by paired-sample t test. All the patients were followed up by telephone or clinic consulting after being discharged from our hospital.
Results: The procedure was performed successfully in 15 patients. The operation time ranged from 45 to 110 minutes(65 minutes per vertebra on average). The patients were followed up and the duration ranged from 6 to 12 months(8 months on average). The mean VAS score of the patients were improved significantly at the third postoperative day compared with those before the operation(2.5±1.3,vs 7.7±1.1,all P<0.05). The mean VAS score at the end of the follow-up was 2.2±1.2.
Conclusion: Sky bone expander system provides significant pain relief effect in the cases of osteoporotic vertebral compression fractures,shortens the duration of lying in bed,and its procedure is convenient with few complications. |
| KEY WORDS Osteoporosis Thoracic vertebrae Lumbar vertebrae Fractures Orthopaedics operative methods |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 郑伟东,李亮,赵云鹤.膨胀式椎体成形术治疗老年骨质疏松性椎体压缩骨折临床观察[J].中国骨伤,2008,21(6):405~406 |
| 英文格式: | ZHENG Wei-dong,LI Liang,ZHAO Yun-he.Clinical study on the vertebral plasty for the treatment of osteoporotic vertebral compressed fractures in elderly[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(6):405~406 |
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