[1]孙钢,金鹏,刘训伟,等.单球囊多次扩张椎体后凸成形术治疗多发性骨质疏松性脊柱压缩骨折[J].介入放射学杂志,2008,(02):106.
　SUN Gang,JIN Peng,LIU Xunwei,et al.Kyphoplasty with single balloon multiple expansions for multi－level osteoporotic vertebral compressive fractures[J].journal interventional radiology,2008,(02):106.
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单球囊多次扩张椎体后凸成形术治疗多发性骨质疏松性脊柱压缩骨折()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2008年02期
页码:
106
栏目:
非血管介入
出版日期:
2008-02-15

文章信息/Info

Title:
Kyphoplasty with single balloon multiple expansions for multi－level osteoporotic vertebral compressive fractures
作者:
孙钢; 金鹏; 刘训伟; 等
２５００３１济南军区总医院医学影像科
Author(s):
SUN Gang; JIN Peng; LIU Xun－wei; XIE Zhi－yong; LI Fan－dong; YI Yu－hai; ZHANG Xu－ping; HAO Run－song．
PLA Jinan Military General Hospital，Jinan２５００３１，China
关键词:
放射学; 介入性; 椎体后凸成形术; 骨质疏松; 脊柱骨折
分类号:
R６８３.２
文献标志码:
A
摘要:
目的探讨单球囊多次扩张椎体后凸成形术治疗多发性骨质疏松脊柱压缩骨折的临床价值。方法３３例疼痛性骨质疏松脊柱压缩骨折患者，累及椎体７６个。在X线监测下，使用单球囊先后置入多个椎体，并多次扩张，改善椎体高度，骨水泥填充。术后观察疼痛缓解状况与骨折复位情况。结果３３例患者手术顺利，术后１周内疼痛明显缓解，无并发症。患者视觉模拟疼痛评分（VAS）由术前平均（６．４６±１．４０）分降至（１．６５±０．４２）分；Oswestry功能障碍指数（ODI ）评分由术前平均７１．３８％降至２２．９２％。球囊扩张压力为１２０～３００psi，平均为１７１．２psi；球囊扩张次数为２～６次，平均扩张３．３次，仅１个球囊在第６次扩张中破裂。术前伤椎椎体前缘和中部高度平均分别丢失（１４．４３±４．１８）mm和（１０．４９±３．７０）mm，术后平均分别丢失（９．７９±３．６４）mm和（５．５２±２．８３）mm。Cobb角由术前平均２３．３３°±６．３３°，矫正至术后１２．５１°±４．３２°。２例２个椎体前侧缘发现少许骨水泥渗漏，但无临床症状，其余椎体无明显骨水泥渗漏的X线表现。结论应用单球囊多次扩张椎体后凸成形术治疗多发性骨质疏松脊柱压缩骨折疗效满意，并降低了手术费用。

参考文献/References:

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［２］Theodorou DJ ，Theodorou SJ，Duncan TD，et al．Percutaneous balloon kyphoplasty for the correction of spinal deformity in painful vertebral body compression fractures［J］．J Clin Imaging，２００２，２６：１－５．
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［６］孙钢，金鹏，易玉海，等．椎体后凸成形术治疗老年性骨质疏松性椎体压缩骨折［J］．介入放射学杂志，２００６，１５：４１０－４１２．
［７］孙钢，金鹏，易玉海，等．用国产器械行椎体后凸成形术治疗老年骨质疏松脊柱压缩骨折的价值［J］．中华放射学杂志，２００６，４０：１０８９－１０９２．
［８］Steinmann J，Tingey CT，Cruz G，et al．Biomechanical com－parison of unipedicular versus bipedicular Kyphoplasty［J］．Spine，２００５，３０：２０１－２０５．

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备注/Memo

备注/Memo:
收稿日期：２００７－１０－１８
基金项目：全军“十一五”计划课题（０６MA０９９）
更新日期/Last Update: 2008-02-15