| 体外充气复位结合椎体成形术治疗胸腰椎压缩性骨折 |
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Received:June 09, 2006
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| 作者 | Author | 单位 | Unit | E-Mail |
| 周辉 |
ZHOU Hui |
杭州市中医院,浙江杭州310007 |
The TCM Hospital of Hangzhou,Hangzhou 310007,Zhejiang,China |
PXL@163.com |
| 彭亮 |
PENG Liang |
杭州市中医院,浙江杭州310007 |
The TCM Hospital of Hangzhou,Hangzhou 310007,Zhejiang,China |
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| 韩勇 |
HAN Yong |
杭州市中医院,浙江杭州310007 |
The TCM Hospital of Hangzhou,Hangzhou 310007,Zhejiang,China |
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| 赵万军 |
ZHAO Wan-jun |
杭州市中医院,浙江杭州310007 |
The TCM Hospital of Hangzhou,Hangzhou 310007,Zhejiang,China |
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| 何永江 |
HE Yong-jiang |
杭州市中医院,浙江杭州310007 |
The TCM Hospital of Hangzhou,Hangzhou 310007,Zhejiang,China |
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| 期刊信息：《中国骨伤》2007年20卷，第3期，第155-157页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:采用自制便携式充气复位仪结合椎体成形术治疗胸腰椎压缩性骨折,探讨其治疗效果。
方法:术前先进行骨折部位体外充气复位,然后行椎体成形术,共治疗胸腰椎压缩性骨折患者15例,其中男4例,女11例;年龄33~76岁。骨折时间均在1周以内,损伤部位为T10-L2的胸腰段压缩性骨折,其中T101例,T111例,T125例,L15例,L23例,分别测量患者术前及术后椎体压缩率,计算其复位率,并按临床疗效标准进行评定。
结果:所有患者术后疼痛症状消失或明显减轻,平均复位率达到78.44%±16.82%,术后随访3个月,按临床疗效评定标准评定治愈12例,好转3例。无严重并发症发生,效果满意。
结论:充气复位结合椎体成形术治疗胸腰椎压缩性骨折具有微创、安全有效、操作方便、便于携带、并发症少及费用较低等优点。 |
| [关键词]:脊柱骨折 胸椎 腰椎 骨科手术方法 |
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| Percutaneous vertebroplasty combined with portable charged reduction device for the treatment of thoracolumbar compression fracture |
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Abstract:
Objective: To study therapeutic effects of self-made portable charged reduciton device combined with percutaneous vertebroplasty(PVP) for the treatment of thoracolumbar compression fracture.
Methods: Fifteen patients(male 4 and female 11,ranging in age from 33 to 76 ages) with thoracolumbar compression fracture were treated with portable charged reduction device before PVP were used.The interval from fracture to treatment was within 1 week.The damaged vertebrae ranged from T10 to L2,among which 1 patient was in T10,1 patient was in T11,5 patients were in T12,5 patients were in L1,and 3 patients were in L2.Before and after the treatment,the compression ratio of vertebrae was measured,and the reduction ratio was calculated,as well as the therapeutic effects were evaluated.
Results: After the operation,the pain of all the patients disappeared or reduced obviously,and the mean reduction ratio was 78.44%±16.82%.The patients were followed up for 3 months.According to clinical curative effect evaluation standard,12 patients obtained an excellent result and 3 good.All the patients were healed or improved without serious complications.
Conclusion: Treatment of thoracolumbar compression fracture with PVP and portable charged reduction device had the following advantages:minimal invasion,high security,less complications,cheapness,and higher value in clinic. |
| KEYWORDS:Spinal fractures Thoracic vertebrae Lumbar vertebrae Orthopaedics operative methods |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 周辉,彭亮,韩勇,赵万军,何永江.体外充气复位结合椎体成形术治疗胸腰椎压缩性骨折[J].中国骨伤,2007,20(3):155~157 |
| 英文格式: | ZHOU Hui,PENG Liang,HAN Yong,ZHAO Wan-jun,HE Yong-jiang.Percutaneous vertebroplasty combined with portable charged reduction device for the treatment of thoracolumbar compression fracture[J].zhongguo gu shang / China J Orthop Trauma ,2007,20(3):155~157 |
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