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目的探讨经皮穿刺椎体成形术(PVP)治疗老年性骨质疏松性椎体压缩骨折(VCF)的近期疗效。方法VCF患者24例共28个椎体,手术前和手术中应用C型臂X光机定位,采用经单侧椎弓根手术入路,行PVP治疗,注射骨水泥4ml左右。结果24例患者共28个椎体,经皮椎体穿刺全部成功。术后24h内腰背部疼痛症状开始缓解21例,术后7d疼痛明显缓解3例,术后1个月疼痛显著缓解24例(其中完全缓解18例)。术后1年患者疗效满意度调查,完全满意20例,满意2例,较满意2例。结论PVP治疗可有效缓解VCF引起的腰背部疼痛,维持脊柱稳定性,是很有价值的治疗方法。
Objective To investigate the short-term curative effect of percutaneous vertebroplasty (PVP) on senile osteoporotic vertebral compression fractures (VCF). Methods A total of 24 vertebral bodies of 24 patients with VCF were treated with C-arm X-ray before and during operation. The patients underwent unilateral pedicle screw approach and were treated with PVP and received about 4 ml bone cement. Results A total of 28 vertebral bodies were obtained from 24 patients. Percutaneous vertebral puncture was successful. The symptoms of lower back pain began to relieve in 21 cases within 24 hours after operation. The pain relief was relieved on the 7th day after operation in 3 cases. The pain relief was significantly relieved at 24 months after operation (of which 18 cases were completely relieved). One year after the patient satisfaction survey, totally satisfied with 20 cases, satisfied with 2 cases, more satisfied with 2 cases. Conclusion PVP treatment can effectively relieve the back pain caused by VCF and maintain the stability of the spine. It is a valuable treatment.