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目的探讨经皮球囊扩张椎体后凸成形术(PKP)治疗老年骨质疏松性椎体压缩骨折的临床疗效。方法回顾性分析2014年1月~2015年1月经PKP治疗骨质疏松性椎体压缩骨折患者100名,男性74例,女性26例,患者年龄62~86岁,平均年龄73.5岁。病程1~15天,骨折椎体范围为T_7~L_4,其中单椎体76例,双椎体24例。记录患者术前与术后VAS、JOA评分、Cobb角变化情况,评价临床疗效。结果术后随访时间6~12个月,平均8个月,患者VAS、JOA评分、及Cobb角术前分别为8.25±1.85、12.35±6.05、25.30°±5.60°,术后12h分别为1.25±0.45、23.20±2.20、12.20°±2.56°,术后所有患者胸腰背部疼痛均明显缓解或消失,所有患者均未发现椎间隙骨水泥渗漏或椎管内骨水泥渗漏情况。结论 PKP可显著缓解腰背疼痛,减少腰背后凸畸形,增强椎体稳定性,是治疗老年骨质疏松性椎体压缩骨折的有效方法。
Objective To investigate the clinical efficacy of percutaneous balloon kyphoplasty (PKP) in the treatment of senile osteoporotic vertebral compression fractures. Methods A total of 100 patients with osteoporotic vertebral compression fractures treated with PKP from January 2014 to January 2015 were retrospectively analyzed. There were 74 males and 26 females. The patients were 62 to 86 years old with a mean age of 73.5 years. Duration of 1 ~ 15 days, the range of vertebral fracture T_7 ~ L_4, including 76 cases of single vertebra, double vertebra in 24 cases. The preoperative and postoperative VAS, JOA score and Cobb angle were recorded to evaluate the clinical effect. Results The postoperative follow-up time ranged from 6 to 12 months with an average of 8 months. The VAS, JOA score and preoperative Cobb angle were 8.25 ± 1.85, 12.35 ± 6.05 and 25.30 ° ± 5.60 °, respectively, and were 1.25 ± 12 h after operation 0.45,23.20 ± 2.20,12.20 ° ± 2.56 °, postoperative thoracolumbar and back pain were significantly relieved or disappeared in all patients were not found interstitial bone cement leakage or spinal leakage of bone cement. Conclusions PKP can relieve the pain of lower back and back, reduce the kyphosis and enhance the stability of the vertebral body. It is an effective method for the treatment of osteoporotic vertebral compression fractures in the elderly.