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椎体(后凸)成形术结合中药治疗骨质疏松性胸腰椎骨折的分析展望

Prospect of PVP or PKP Combined with Traditional Chinese Medicine in the Treatment of Osteoporotic Thoracolumbar Fractures

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【作者】 张旭桥王晓晖姜升平蒲云青黄光明仇湘中

【Author】 ZHANG Xu-qiao;WANG Xiao-hui;JIANG Sheng-ping;Traditional Chinese Medicine of Xiangtan City;

【机构】 湖南省湘潭市中医医院湖南省中医药研究院附属医院

【摘要】 椎体成形术(Percutaneous vertebroplasty,PVP)及椎体后凸成形术(Percutaneous kyphoplasly,PKP)自上世纪80年代开展以来,以其创伤小、起效快、能短时间下地活动的特点,深受医患欢迎,目前在我国广泛用于治疗骨质疏松性胸腰椎骨折(Osteoporotic Vertebral body compression fractures,OVCFs)。但PVP及PKP本身对骨质疏松并无治疗作用,且填充物刚度明显强于骨质,引起再次骨折及椎体高度再丢失的报道并不少见。中药(Traditional Chinese medicine,TCM)治疗骨质疏松的历史悠久、疗效确切,不少学者对中药治疗OVCFs的机理进行了探索。本文对PVP及PKP联合中药治疗OVCFs的现状进行分析及展望。

【Abstract】 PVP and PKP since the last century began in the 1980 s,with its small trauma, quick effect, can the characteristics of short time engaged in activities are very popular with patients and doctors.PVP and PKP has been extensively used for treatment of osteoporotic thoracolumbar fractures(OVCFs) in our country,but the PVP and PKP with no treatment effect of osteoporosis,and the filling material stiffness was significantly stronger than that of bone, cause fractures and vertebral body height and then again missing reports are not uncommon.Traditional Chinese medicine treatment of osteoporosis has a long history and good curative effect, which caused many scholars to explore the mechanism of traditional Chinese medicine in the treatment of osteoporotic vertebral compression fracture.In view of this,the author analyzes the current situation of the PVP and PKP combined with traditional Chinese medicine for the treatment of OVCFs.

【基金】 2014年度湖南省中医药科研计划项目(2014126)
  • 【文献出处】 中国医学创新 ,Medical Innovation of China , 编辑部邮箱 ,2016年26期
  • 【分类号】R687.3;R580
  • 【被引频次】15
  • 【下载频次】93
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