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土锢钧’.周长征2*.PKP术治疗老年骨质疏松性胸腰椎
压缩性骨折的临床观察[J].湖南中医药大学学报英文版,2011,31(3):59-61.[Click to copy
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| PKP术治疗老年骨质疏松性胸腰椎
压缩性骨折的临床观察 |
| 土锢钧’.周长征2* |
| (湖南中医药大学2008级研究生班，湖南中医药大学第一附属医院) |
| 摘要: |
| 〔摘要〕目的观察经皮椎体后凸成形术(percutaneous kyphoplasty , PKP)治疗老年骨质疏松性压缩性骨折的临
床疗效、方法对收治的符合纳入标准的38例老年骨质疏松性胸腰椎压缩性骨折患者应用PKP治疗并进行临床
疗效和影像学分析〔术后随访2个月、结果术后腰背部疼痛消失35例，疼痛明显减轻3例，无骨水泥渗漏〔术后
行影像学检查未见椎管内占位，后凸畸形明显改善、术后伤椎前柱平均高度明显提高(P<0.05 ) , Cobb角恢复至正
常水平，与术前比较差异有统计学意义(P<0.05 )、结论PKP术创伤小、安全、临床疗效好，能迅速缓解疼痛，有效恢
复伤椎高度，是治疗老年骨质疏松性胸腰椎压缩性骨折的理想治疗方法、 |
| 关键词: 骨质疏松 压缩性骨折 经皮椎体后凸成形术 |
| DOI： |
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| 基金项目: |
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| Clinical study of percutaneous kyphoplastyfor osteoporotic thoracolumber compressive fractures |
| WANG Dian一un, ZHOU Chang-zheng |
| (;TCM University of Hunan) |
| Abstract: |
| (Abstract〕 Objective To study the clinical efficacy of percutaneous kyphoplasty (PIMP) in
the treatment of osteoporotic vertebral body compression fractures. Methods 38 patients with os-
teoporotic vertebral body compression fractures were collected and treated by PIMP，then
the clinical efficacy and radiological evaluations were measured and postoperative follow-up was
in 2 months. Results The 35 patients were removed their lower back pain immediately and 3
obtained obvious lighten their pain, without PMMA leakage. There were no occupations in post-
operative imaging in the verebral canal. The improvement of kyphosis was remarkable. The aver-
age height of the wound vertebral was obviously improved (P<0.05).Compared with the preoper-
anon, the Cobb angle returned[()normal (P<0.05). Conclusion The PIMP has the advantages
of minimal trauma, safety and effectiveness, can quickly relieve pain and is effective recovery
injury vertebral,
介actures in aged
which is a recommendable method for osteoprotic vertebral body compression
people. |
| Key words: osteoporosis vertebral compression fracture percutaneous kyphoplasty |
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