【摘要】 目的探讨经皮球囊扩张椎体后凸成型术(PKP)治疗急性外伤性椎体压缩性骨折的价值。方法回顾性分析15例接受PKP治疗的急性外伤性椎体压缩性骨折患者(共18个病变椎体)的影像学及临床资料,评价PKP的疗效。结果对15例患者均顺利完成手术,未见严重并发症。术后1周病变椎体前缘、中央、后缘高度均较术前升高,Cobb角减小(P均<0.05)。术后1周CT检查发现骨水泥渗漏1例(1/15,6.67%)。经PKP治疗,疼痛完全缓解11例(11/15,73.33%),部分缓解4例(4/15,26.67%),有效率达100%(15/15)。15例患者的视觉模拟评分在术后1周、1个月、6个月及12个月分别为3.21±0.32、2.67±0.42、2.64±0.51和2.36±0.67,均较术前(8.68±0.88)明显减小(P均<0.05)。术后6个月患者的生活自理能力评分(86.33±6.30)较术前(29.19±5.61)升高(P<0.05)。结论 PKP是治疗急性外伤性椎体压缩性骨折的一种微创、安全、有效的方法。更多还原

【Abstract】 Objective To assess the value of percutaneous balloon kyphonplasty(PKP) in treating acute traumatic vertebral compression fractures.Methods Imaging and clinical data of 15 patients with acute traumatic vertebral compression fractures(totally 18 vertebral bodies) who underwent PKP treatment were retrospectively analyzed.Results The treatment was successfully performed on all 15 patients without serious complications.The height of the anterior edge,central region and posterior edge of diseased vertebral bodies 1 week after PKP treatment increased,comparing with those before the treatment,while the Cobb angle decreased(all P<0.05).Bone cement leakage was observed in 1 case(1/15,6.67%) by CT 1 week after PKP treatment.Complete remission of pain was found in 11 cases(11/15,73.33%) and partial remission was found in the other 4 cases(4/15,26.67%).The effective rate of PKP was 100%(15/15).Compared with pre-treatment result(8.68±0.88),the visual analog scale separately significant decreased 1 week(3.21±0.32),1 month(2.67±0.42),6 months(2.64±0.51) and 12 months(2.36±0.67) after PKP in all 15 patients(all P<0.05).The activity of daily living score at 6 months after PKP treatment(86.33±6.30) increased comparing with that of pre-treatment(29.19±5.61,P<0.05).Conclusion PKP is a minimal invasive,safe and effective method for treating acute traumatic vertebral compression fractures.更多还原