论文部分内容阅读
[目的]探讨不同麻醉方法下椎体成形术治疗痛性骨质疏松性椎体压缩骨折的疗效差异。[方法]回顾本院应用胸腰椎后路经皮穿刺椎体成形术治疗的痛性骨质疏松性骨折患者12例,共24个椎体,分为两组,全麻组5例,局麻组7例,比较手术前后腰背痛VAS评分的改善率,分析并发症发生情况。[结果]全麻组,局麻组手术前后腰背痛VAS评分及其改善率分别为7.2分、1.6分,78.0%和6.9分,1.6分,77.4%,两组间VAS评分改善率相似。[结论]不同麻醉方式下椎体成形术治疗痛性骨质疏松性椎体骨折疗效无显著差异,麻醉方式的选择可根据医师对患者麻醉危险性的判断及患者对自身术中疼痛耐受能力的预估。
[Objective] To investigate the curative effect of vertebroplasty under different anesthesia in the treatment of osteoporotic vertebral compression fractures. [Methods] A retrospective study of 12 cases of painful osteoporotic fractures treated with thoracolumbar posterior percutaneous vertebroplasty in our hospital. There were 24 vertebrae in total. They were divided into two groups: general anesthesia group (n = 5), local anesthesia group Group, 7 cases. The improvement rate of VAS scores of low back pain before and after operation was compared, and the complication occurred. [Results] The VAS score and improvement rate of low back pain before and after general anesthesia and local anesthesia were 7.2, 1.6 and 78.0% and 6.9, 1.6 and 77.4%, respectively. The improvement rate of VAS score between the two groups was similar. [Conclusion] There is no significant difference in the efficacy of vertebroplasty in the treatment of osteoporotic vertebral fractures under different anesthesia methods. The choice of anesthesia method can be based on physicians ’judgment of anesthesia risk and patients’ tolerance to intraoperative pain Estimated.