王强;王英民;孙常太;

• 1:北京医院骨科

摘要(Abstract)：

[目的]探讨经皮球囊扩张后凸成形术治疗老年骨质疏松性椎体压缩骨折的手术效果和患者术后的生活质量。[方法]采用经皮球囊扩张后凸成形术治疗老年椎体压缩骨折病例105例。测量术前、术后3 d、术后3个月和随访结束时的椎体高度;术前、术后3 d、术后3个月和随访结束时对患者腰痛行VAS评分,术前、术后3个月和随访结束时对患者进行ODI评分。[结果]91例患者获随访,随访时间13～50个月,平均33.2个月。患者术前椎体平均高度为(1.45±0.28)cm,术后3 d复查X线片测量的椎体平均高度为(1.75±0.23)cm,术后3个月时椎体平均高度(1.75±0.23)cm,随访结束时患者椎体平均高度为(1.74±0.24)cm。术前VAS评分为(7.53±0.68),术后3 d为(2.69±0.49),术后3个月为(1.02±0.33),随访结束时为(1.01±0.39)。术前ODI评分为(77.85±3.53),术后3个月为(28.67±5.85),随访结束时为(21.33±3.47)。术前、术后的椎体高度,VAS评分,ODI评分差别有统计学意义(P<0.01)。[结论]经皮球囊扩张后凸成形术治疗老年骨质疏松性椎体压缩骨折能部分恢复椎体高度,针对压缩骨折带来的腰痛有良好的治疗效果,明显改善了患者的生活质量。

关键词(KeyWords)： 椎体压缩骨折;经皮球囊扩张椎体成型术

Abstract:

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作者(Author): 王强;王英民;孙常太;

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参考文献(References)：

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