[1]王永宏 王成虎△ 郭永林 马金柱.高黏度骨水泥椎体成形术治疗骨质疏松性椎体压缩骨折的疗效分析[J].中国中医骨伤科杂志,2016,24(07):50-52.
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高黏度骨水泥椎体成形术治疗骨质疏松性椎体压缩骨折的疗效分析
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第24卷
期数:
2016年07期
页码:
50-52
栏目:
临床报道
出版日期:
2016-07-15

文章信息/Info

文章编号:
1005-0205(2016)07-0050-03
作者:
王永宏1 王成虎2△ 郭永林3 马金柱2
1.甘肃静宁县中医院骨科(甘肃 静宁,743400)
2.山东聊城市人民医院骨科
3.湖南湘潭市中医医院骨科
△.通信作者 E-mail:chwangcn@163.com
关键词:
椎体压缩骨折 骨质疏松 椎体成形术 高黏度骨水泥
分类号:
R683.2
文献标志码:
B
摘要:
目的:评价高黏度骨水泥椎体成形术治疗骨质疏松性椎体压缩骨折的临床疗效。方法:2013年4月至11月应用高黏度骨水泥椎体成形术治疗骨质疏松性椎体压缩骨折53例(68个椎体)。对比术前和术后疼痛视觉类比评分(Visual Analogue Scale,VAS)、Oswestry功能障碍指数(Oswestry Disability Index,ODI),观察手术并发症(骨水泥渗漏、肺栓塞和神经损伤等)、术后椎体前缘高度恢复率、随访期间伤椎高度变化和新发椎体骨折发生率。随访时间为1年。结果:术后患者VAS评分和ODI值均明显改善。骨水泥渗漏率为13.24%,未出现有症状的骨水泥渗漏。术后椎体前缘高度恢复率为23.93%,1年随访时伤椎恢复高度无明显丢失。随访期间发生1例临近椎体骨折(2%)。结论:高黏度骨水泥椎体成形术能安全、有效地缓解骨质疏松性椎体压缩骨折患者的疼痛,改善患者的躯体功能,较好恢复压缩椎体的高度,并且采用高黏度骨水泥可降低骨水泥渗漏,具有良好的临床应用前景。

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备注/Memo

备注/Memo:
基金项目:卫生部医药卫生科技发展研究中心资助项目 (W2012ZT36)
聊城市科学技术攻关计划课题
更新日期/Last Update: 2016-07-01