单侧椎弓根入路经皮球囊扩张椎体后凸成形术(PKP)的临床体会

廖乐明，倪建国，洪元宏，章智伟

(富阳市人民医院，浙江 富阳 311400)

·基础与临床研究·

单侧椎弓根入路经皮球囊扩张椎体后凸成形术(PKP)的临床体会

廖乐明，倪建国，洪元宏，章智伟

(富阳市人民医院，浙江 富阳 311400)

目的：总结分析单侧椎弓根入路经皮球囊扩张椎体后凸成形术(PKP)治疗骨质疏松性椎体压缩性骨折的临床疗效。方法通过用单侧椎弓根入路经皮穿刺的微创方法，采用C臂机下定位经皮球囊扩张椎体后凸成形术治疗骨质疏松性胸腰椎椎体压缩性骨折患者共148例。术后采用通用的VAS评分及患者主观满意度评估疗效。结果136例患者在单侧椎弓根PKP手术后24～48小时感觉疼痛明显减轻，2例加重，10例症状无明显改善，主观满意度优良率91.89%。结论单侧椎弓根经皮球囊扩张椎体后凸成形术对骨质疏松性椎体压缩性骨折的疗效确切。

椎体后凸成形术；骨质疏松性骨折

Abstract: [Objective] To summary the clinical efficacy of unilateral pedicle into the posterior percutaneous kyphoplasty in treatment of osteoporotic vertebral compression fractures. [Method] 148 cases were treated by unilateral transpedicular approach percutaneous minimally invasive method, using C-arm positioning balloon dilatation kyphoplasty treatment of osteoporotic thoracolumbar vertebral compression fractures. The efficacy was assessed using the subjective general VAS scores and patients' satisfaction. [Result] 24-48 hours after surgery, 136 patients with unilateral transpedicular balloon dilatation vertebrae forming feel the pain significantly reduced. 2 cases suffered the aggravation of symptoms and 10 cases got no significant improvement. The satisfaction rate was 91.89%. [Conclusion] Unilateral transpedicular percutaneous balloon dilatation of vertebral kyphosis is effective to osteoporotic vertebral compression fractures

Keywords: percutaneous kyphoplasty；osteoporotic fractures

老年人发生骨质疏松性骨折的最常见部位是胸腰段椎体，骨折后的疼痛症状，多会产生严重的并发症。CT或MRI表现为骨小梁变细、中断及消失，骨强度下降，骨脆性增加。自2008年4月以来，我院对148例骨质疏松性胸腰椎压缩性骨折患者进行单侧椎弓根入路经皮球囊扩张椎体后凸成形术(Percutaneous Kyphoplasty，PKP)，并经过6个月的随访，报告如下。

1 资料与方法

1.1 一般资料

全组骨质疏松性胸腰椎压缩性骨折患者共148例，男45例，女103例，年龄62～93岁，平均73岁， 148例患者共210个椎体， 椎体压缩自T6 ～L5均存在。其中，10个压缩椎体病变1例，4个压缩椎体病变1例，3个压缩椎体病变4例，2个压缩椎体病变42例，单个压缩椎体病变100例。……