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【摘要】目的：評价椎体成形术（percutaneous vertebroplasty， PVP）治疗重度骨质疏松性椎体压缩骨折的疗效，总结手术经验。方法：自2009年01月至2010年10月采用PVP治疗重度骨质疏松性椎体压缩骨折12例，共13个伤椎。分别于术前,术后3天、1个月及终末随访时对患者的VAS评分进行评价。结果：12例手术均完成，疼痛于术后明显缓解。随访(3-22)个月，平均8.5个月。VAS评分由术前8.2±0.9到术后3d2.8±06，术后1个月2.6±0.7和最终随访2.5±0.6(P< 0.01)；2例2个椎体发生骨水泥泄漏。结论：PVP是治疗重度骨质疏松性椎体压缩骨折简单、有效的方法。
【关键词】椎体成形术；骨质疏松；重度骨折
【中图分类号】R687.3【文献标识码】Ａ【文章编号】1008-6455（2011）10-0031-02【Abstract】Objective：To evaluate the efficacy of vertebroplasty in the treatment of severe osteoporotic vertebral compression fractures，summary surgery experience. Methods：12 cases, 13injured vertebra ware treated by vertebroplasty during January2009 to October 2010. We evaluate VAS score of patient’s before the surgery,after the surgery3 days、1 month and final follow-up . Results： Operations in all the 12 patients were completed ,pain relieve apparently after the surgery. Follow-up of 3-22 months, an average of 8.5 months .VAS score improved from preoperative 8.2±09 to postoperative 3d 2.8±06、 1 month 2.6±0.7 and final follow-up 2.5±0.6(P<0.01)；two vertebral body of two cases had cement leakage. Conclusion：PVP is a simple and effective method in the treatment of severe osteoporotic vertebral compression fractures.
【Key words】Vertebroplasty; osteoporosis; severe fractures
【关键词】椎体成形术；骨质疏松；重度骨折
【中图分类号】R687.3【文献标识码】Ａ【文章编号】1008-6455（2011）10-0031-02【Abstract】Objective：To evaluate the efficacy of vertebroplasty in the treatment of severe osteoporotic vertebral compression fractures，summary surgery experience. Methods：12 cases, 13injured vertebra ware treated by vertebroplasty during January2009 to October 2010. We evaluate VAS score of patient’s before the surgery,after the surgery3 days、1 month and final follow-up . Results： Operations in all the 12 patients were completed ,pain relieve apparently after the surgery. Follow-up of 3-22 months, an average of 8.5 months .VAS score improved from preoperative 8.2±09 to postoperative 3d 2.8±06、 1 month 2.6±0.7 and final follow-up 2.5±0.6(P<0.01)；two vertebral body of two cases had cement leakage. Conclusion：PVP is a simple and effective method in the treatment of severe osteoporotic vertebral compression fractures.
【Key words】Vertebroplasty; osteoporosis; severe fractures