【摘 要】
：
目的 探讨椎体成形术及椎体后凸成形术等微创治疗在治疗高龄重症胸腰椎压缩骨折中的应用及操作注意事项.方法 2005年8月-2009年8月收治26例重症高龄骨质疏松性胸腰椎压缩骨折患者,共28个椎体,PVP术式7例,PKP术式19例,其中采用膨胀Sky成形器6例,冠龙球囊13例.结果 25例患者随访时间为6～44月,平均随访19.3个月,术后1～24h患者腰背部疼痛均缓解,三组术后2周及随访时VAS评
【出 处】
：
2010广东省医学会骨科年会暨岭南骨科学术大会
论文部分内容阅读
目的 探讨椎体成形术及椎体后凸成形术等微创治疗在治疗高龄重症胸腰椎压缩骨折中的应用及操作注意事项.方法 2005年8月-2009年8月收治26例重症高龄骨质疏松性胸腰椎压缩骨折患者,共28个椎体,PVP术式7例,PKP术式19例,其中采用膨胀Sky成形器6例,冠龙球囊13例.结果 25例患者随访时间为6～44月,平均随访19.3个月,术后1～24h患者腰背部疼痛均缓解,三组术后2周及随访时VAS评分与术前比较,差异有统计学意义(P＜o.05)；术后两周、随访时三组比较,差异无统计学意义(P＞0.05)；无脊髓神经损伤、肺栓塞等并发症.结论 椎体成形术及椎体后凸成形术对于高龄重症胸腰椎压缩骨折的治疗是可行的,但必须结合不同类型骨折的特点,综合选择,同时对术者提出了更高的技术要求.
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