| 伤椎钻孔骨减压治疗相关性背痛19例 |
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Received:September 24, 2012
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| 期刊信息：《中国骨伤》2013年26卷，第4期，第302-304页 |
| DOI：10.3969/j.issn.1003-0034.2013.04.010 |
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目的: 探讨和分析伤椎钻孔骨减压治疗单纯椎体压缩性骨析相关性胸腰背疼痛的临床可行性及疗效。
方法: 2004年5月至2011年12月对19例椎体压缩性骨折胸腰背疼痛患者进行行非计划性和计划性椎体钻孔骨减压术治疗, 椎体压缩均≤1/3,其中男13例, 女6例;年龄44～68岁, 平均61岁;病程3个月～8年, 平均为2.5年。胸背痛6例, 腰背痛13例。胸椎9节, 腰椎16节。
结果: 19例患者获随访, 时间6个月～3年, 症状无复发。患者VAS评分术前(5.7±0.3)分, 术后(2.3±0.2)分。术后24 h 疼痛完全缓解4例, 部分缓解5例;术后48 h疼痛完全缓解 10例, 部分缓解9例。
结论: 伤椎钻孔骨减压治疗椎体压缩性骨折胸腰背疼痛能获得满意的疗效, 尤其对陈旧性单纯椎体压缩性骨析相关性的胸腰背痛止痛疗效好、创伤小、并发症少。 |
| [关键词]:胸椎 腰椎 骨折 背痛 减压 |
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| Drill in pedicle of vertebral arch for treatment of the back pain of old vertebrae compression fracture:19 cases report |
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Abstract:
Objective: To investigate and analyses feasibility and therapeutic effect of pedicle of vertebral arch drilling in the treatment of old vertebrae compression fracture patients suffering back pain.
Methods: From May 2004 to December 2011,19 patients with back pain caused of old vertebrae compression fracture were treated by vertebral body decompression with drilling. There were 13 males and 6 females with with an average age of 61 years old ranging from 44 to 78 years. The course of disease was 3 months to 8 years(means 2.5 years). Among them,6 cases were chest-back pain and 13 were lumbodorsal pain. The thoracic vertebrae fracture involved in 9 segments,lumbar vertebrae fracture involved in 18 segments,vertebral height lose≤1/3.
Results: Niteen patients were followed up from 6 months to 3 years. The symtoms were not recurrened. The VAS score was 5.7±0.3 preoperative and 2.3±0.2 postoperative. The pain relieved obviously in 4 patients and mainly in 5 patients at 24 hours after operation,and the pain relieved obviously in 10 patients and mainly in 9 patients at 48 hours after operation.
Conclusion: Vertebral drill decompression is an effective method for the treatment of old osteoporotic compression fractures with minimally invasive and low complication. |
| KEYWORDS:Thoracic vertebrae Lumbar vertebrae Fractures Back pain Decompression High intra-osseous pressure |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 端木群立,毛谡,瞿杭波.伤椎钻孔骨减压治疗相关性背痛19例[J].中国骨伤,2013,26(4):302~304 |
| 英文格式: | DUAN-MU Qun-li,MAO Su,QU Hang-bo.Drill in pedicle of vertebral arch for treatment of the back pain of old vertebrae compression fracture:19 cases report[J].zhongguo gu shang / China J Orthop Trauma ,2013,26(4):302~304 |
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