| 椎体成形术治疗急性崩裂性胸腰椎骨折 |
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Received:June 27, 2007
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| 期刊信息：《中国骨伤》2008年21卷，第1期，第7-9页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：探讨椎体成形术治疗急性崩裂性胸腰椎骨折的可行性。
方法：采用椎体成形术治疗急性胸腰椎崩裂骨折58例， 其中男38例，女20例；年龄38～70岁，平均56.8岁。伤椎节段：T11 3 例，T12 18例， L1 29例，L2 5例，L3 3例。将适合单纯椎体成形术治疗的病例分为3型(Ⅰ型：椎体成形术安全型；Ⅱ型：椎体成形术风险型；Ⅲ型：椎体成形术边缘型). 本组58例为Ⅰ～Ⅲ型病例：Ⅰ型26例，Ⅱ型21例，Ⅲ型 11例。
结果：58例中术后1～3 d可按预定时间下床活动者53例。随访1～2.5年，平均1年4个月，症状完全缓解55例，其中可从事日常劳动39例，可从事家务劳动16例，完全缓解率95%.部分缓解3例，表现活动后仍觉轻度腰痛，生活可自理， 部分缓解率5%.
结论：椎体成形术治疗急性崩裂胸腰椎骨折，尽管有一定的风险性，但仍是一个很好的治疗方法。 |
| [关键词]:椎体成形术 崩裂性 胸腰椎 骨折 |
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| Percutaneous vertebroplasty for the treatment of acute burst thoracolumbar fractures |
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Abstract:
Objective: To explore the feasibility of percutaneous vertebroplasty for the treatment of acute burst thoracolumbar fracture.
Methods: Fifty-eight patients(male 38 and female 20,ranging in age from 8 to 70 years,with an average of 56.8 years) with acute burst thoracolumbar fracture were treated by percutaneous vertebroplasty. The injuried vertebrae were T11 in 3 cases,T12 18 cases,L1 29 cases,L2 5 cases and L3 3 cases. All suited cases were classified into 3 types according to injuried vertebral shapes,typeⅠ(safe type 26 cases),type Ⅱ(risk type 21cases),and type Ⅲ(marginal type 11 cases).
Results: All the patients were followed up ranging from 1 to 2.5 years(mean 1.6 years). Fifty-three patients could walk in 1 to 3 days after operation. Among 55 patients who obtained complete recovery(CR),39 patients could do daily works and 16 patients could do houseworks. The CR rate was 95%. Three patients who obtained partial recovery(PR),could live by themselves and felt slight lumbago after movements. The PR rate was 5%.
Conclusion: Percutaneous vertebroplasty for the treatment of acute burst thoracolumbar fracture is a feasible and effective method even for particular risks. |
| KEYWORDS:Percutaneous vertebroplasty Interstitial Thoracolumbar vertebrae Fractures |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 高景春,宓士军,刘长林.椎体成形术治疗急性崩裂性胸腰椎骨折[J].中国骨伤,2008,21(1):7~9 |
| 英文格式: | GAO Jing-chun,MI Shi-jun,LIU Chang-lin.Percutaneous vertebroplasty for the treatment of acute burst thoracolumbar fractures[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(1):7~9 |
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