经皮椎体成形术治疗地震伤新鲜椎体骨折的临床分析
摘要
目的探讨经皮椎体成形术(PVP)对新鲜椎体骨折的临床应用特点,以及该方法应对地震伤致大批量伤员的临床使用意义。方法选择12例地震伤致新鲜椎体压缩性骨折老年患者,以椎体骨折压缩程度较重一侧行椎体成形术,分别在术前、术后不同时期评价疗效。结果 12例15个骨折椎体行PVP治疗,术前疼痛分数及功能水平较术后有显著差异。12例在注射丙烯酸树脂骨水泥时均有不同程度的渗漏。结论经皮椎体成形术能显著缓解患者疼痛症状;PVP在新鲜椎体骨折伤员的应用能通过迅速缓解患者症状提高突发灾害中大批量伤员的整体救治效率,但其丙烯酸树脂骨水泥的高渗漏率需重视。
引文
[1]单硕,林帆,周光.经皮椎体成形术治疗胸腰椎骨质疏松性压缩骨折.中国骨与关节损伤杂志,2006,21(7):549
[2]Maa SH,Sun MF,Wu CC.The effectiveness of acupuncture on painand mobility in patients with osteoarthritis of the knee:a pilot study.J Nurs Res.2008,16(2):140
[3]Moriello C,Byrne K,Cieza A,et al.Mapping the stroke impact scale(SIS-16)to the international classification of functioning,disabilityand health.J Rehabil Med.2008,40(2):102
[4]Lin WC,Cheng TT,Lee YC,et al.New vertebral osteoporotic compres-sion fractures after percutaneous vertebroplasty:retrospective analy-sis of risk factors.J Vasc Interv Radiol.2008,19(2):225
[5]王卫平,刘志松.经皮椎体成形术治疗骨质疏松压缩性骨折缓解疼痛的观察.中国骨与关节损伤杂志,2007,22(1):65
[6]Hoh BL,Rabinov JD,Pryor JC,et al.Balloon kyphoplasty for vertebralcompression fracture using a unilateral balloon tamp via a uni-pedicular approach technique note.Pain Physician,2004,7:111
[2]Maa SH,Sun MF,Wu CC.The effectiveness of acupuncture on painand mobility in patients with osteoarthritis of the knee:a pilot study.J Nurs Res.2008,16(2):140
[3]Moriello C,Byrne K,Cieza A,et al.Mapping the stroke impact scale(SIS-16)to the international classification of functioning,disabilityand health.J Rehabil Med.2008,40(2):102
[4]Lin WC,Cheng TT,Lee YC,et al.New vertebral osteoporotic compres-sion fractures after percutaneous vertebroplasty:retrospective analy-sis of risk factors.J Vasc Interv Radiol.2008,19(2):225
[5]王卫平,刘志松.经皮椎体成形术治疗骨质疏松压缩性骨折缓解疼痛的观察.中国骨与关节损伤杂志,2007,22(1):65
[6]Hoh BL,Rabinov JD,Pryor JC,et al.Balloon kyphoplasty for vertebralcompression fracture using a unilateral balloon tamp via a uni-pedicular approach technique note.Pain Physician,2004,7:111
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