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目的:为CT引导下椎体成形术治疗上位胸椎骨质疏松性椎体压缩性骨折提供一手术选择。方法:对中山市人民医院2012年1月至2016年3月收治的T2-6椎体骨质疏松性压缩性骨折患者45例在CT引导下行经椎弓根椎体成形术,统计手术前后腰痛VAS评分、ODI评分及并发症发生率,比较手术前后VAS评分及ODI评分的差异,比较并发症发生率与文献报道是否有差异。结果:术前VAS评分(7.31±1.89)分,ODI评分(60.35±11.25)%,术后VAS评分(2.96±0.88)分,ODI评分(11.34±7.23)%,术前术后胸背腰痛VAS及ODI评分比较,差异具有统计学意义(P<0.05)。结论:CT引导下上位胸椎椎体成形术可以选择经椎弓根穿刺,避免伤及椎体周围软组织及血管,安全可靠,对手术人员无射线暴露。
OBJECTIVE: To provide a surgical choice for CT-guided vertebroplasty in the treatment of vertebral compression fractures of the upper thoracic vertebra. Methods: 45 cases of T2-6 vertebral osteoporotic compression fractures admitted from January 2012 to March 2016 in Zhongshan People’s Hospital were treated with CT guided pedicle vertebroplasty. The incidence of low back pain before and after operation VAS score, ODI score and complication rate. VAS score and ODI score were compared before and after surgery. The complication rates were compared with those in the literature. Results: The preoperative VAS score (7.31 ± 1.89), ODI score (60.35 ± 11.25)%, postoperative VAS score (2.96 ± 0.88), ODI score (11.34 ± 7.23)%, preoperative and postoperative thoracolumbar back pain VAS And ODI score, the difference was statistically significant (P <0.05). Conclusion: CT guided thoracic vertebroplasty can be selected by pedicle puncture to avoid injury to the soft tissue and blood vessels around the vertebral body, safe and reliable, no radiation exposure to the operatives.