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目的探讨球囊扩张椎体成形术(kyphoplasty,PKP)治疗骨质疏松性椎体压缩骨折的临床效果。方法本组25例(42个椎体),骨折部位:T9～L3,其中胸椎24个,腰椎18个。采用经皮穿刺方法,进行球囊扩张椎体成形术治疗。测量术前和术后椎体高度,cobb′角,并用疼痛视觉评分法评定患者疼痛缓解程度。结果25例患者术后疼痛消失或基本消失,术后当天或次日开始下床活动,经X线检查确定cobb′角矫正10°～28°,平均15°,椎体高度基本恢复。经随访3～8个月,患者伤椎高度无丢失,未再出现疼痛,无其他并发症出现。结论微创球囊扩张椎体成形术是治疗骨质疏松性椎体压缩骨折的一种安全有效的方法。
Objective To investigate the clinical effect of kyphoplasty (PKP) on osteoporotic vertebral compression fractures. Methods The group of 25 patients (42 vertebrae), fracture site: T9 ~ L3, of which 24 thoracic vertebra, 18 lumbar. Percutaneous puncture method for balloon dilation of vertebroplasty treatment. The preoperative and postoperative vertebral body height, cobb ’angle were measured and the degree of pain relief assessed by pain visual score. Results After operation, the pain disappeared or almost disappeared in 25 patients. The patients started to get out of bed on the following day or the next day. The cobb ’angle was corrected from 10 ° to 28 ° by an X-ray examination, with an average of 15 °. The vertebral body height recovered. After 3 to 8 months of follow-up, the height of injured vertebrae was not lost, no recurrence of pain and no other complications occurred. Conclusion minimally invasive balloon angioplasty is a safe and effective method for the treatment of osteoporotic vertebral compression fractures.