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椎体后凸成形术治疗骨质疏松性椎体骨折的随访分析

Retrospective analysis of osteoporotic vertebral fractures treated with kyphoplasty

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目的 回顾性研究经皮椎体后凸成形术(KP)治疗骨质疏松性椎体骨折的疗效.方法 回顾性分析2000年5月至2012年10月行KP治疗且资料较完整的1 459例骨质疏松性椎体骨折患者的临床资料,从腰背部疼痛(VAS评分)改善率、常见并发症发生率及生存率三方面评价手术疗效.结果 平均随访51个月(1~92个月),VAS评分术前为8.7±1.0,末次随访为2.5±0.9,差异有统计学意义(P<0.05),VAS改善率为71.3%;骨水泥渗漏率2.4%;随访4年以上生存率75.3%.结论 KP治疗骨质疏松性椎体骨折能有效缓解患者疼痛,并发症低,安全有效.
Objective To study retrospectively the efficacy of osteoporotic vertebral fractures (OVF) treated with percutaneous kyphoplasty (KP). Methods The clinical data of 1 459 patients with OVF were analyzed retrospectively from May 2000 to October 2012. The outcomes of KP for OVF were assessed by the improving rate of visual analogue scale ( VAS) , the rate of common complications and the survival rate. Results The mean follow-up was 51 months (ranged from one to 92 months). The VAS was 8.7 ± 1. 0 at preoperative and 2. 5 ±0. 9 at final follow-up. There was statistically significant improvement at the final follow-up assessment compared with the pre-operative assessment (P <0. 05) , VAS improved rate was 71.3%. The rate of cement leakage was 2.4% and the survival rate of up to four years was 75. 3% . Conclusion The study suggests that kyphoplasty is a safe and effective procedure for OVF.

kyphoplastyosteoporosisvertebral compression fractureincremental temperature ce-ment deliverycement

王根林、杨惠林、孟斌、郑召民、张宁、殷国勇、梅昕、周军、朱雪松、汪李军

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苏州大学附属第一医院骨科,江苏苏州215006

中山大学附属第一医院骨科,广东广州510080

南京医科大学第一附属医院骨科,江苏南京210029

椎体后凸成形术 骨质疏松症 椎体压缩骨折 温度梯度灌注法 骨水泥

国家自然科学基金国家自然科学基金国家自然科学基金卫生行业科研专项基金

812719608117168981071451201002018

2012

苏州大学学报(医学版)
苏州大学

苏州大学学报(医学版)

CSTPCD
影响因子:0.499
ISSN:1673-0399
年,卷(期):2012.32(6)
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