摘要
目的探索椎体成形术治疗中段胸椎骨折的可行性。方法对39例胸椎椎体症状性中段(T5～8)胸椎椎体骨折实施经皮椎体成形术,采用经左侧椎弓根或经左肋颈与椎弓根之间间隙进针,观察疗效及并发症。结果 39例患者中,术后48h后可自行下床活动36例。随访6个月至1.5年(平均12个月),疼痛完全缓解(CR) 35例;部分缓解(PR)4例;CR率89.74%,PR率10.26%,有效率100%(有效率=CR率+PR率)。3例术后出现胸背疼痛并发症,深呼吸时加重,2周后均缓解,为穿刺波及肋椎关节所致。无骨水泥椎体外泄漏造成神经压迫并发症发生。结论经皮椎体成形术治疗中段胸椎骨折是一种安全有效的方法。
Objective To investigate the feasibility of the vertebroplasty through unilateral approach for fracture in the middle thoracic vertebera. Methods 39 cases with fracture in the middle thoracic vertebera （T5-8） underwent percutaneous vertebroplasty, with puncture through the left pedicle of vertebral arch or through the gaps between the left costal neck and the pedicle of vertebral arch. The efficacy and complications were observed. Results Of the 39 post-operative patients, 36 were able to get up and perform ambulation independently in 48 hours. The mean follow-up period was 12 months （range, 6-18months）. 35 reported complete remission of pain （CR）, and 4 partly remission of pain （PR）. The effective rate was 100%, with CR rate being 89.74% and PR rate being 10.26% （The effective rate=CR rate＋PR rate）. 3 sustained post-operative complications of chest and back pain, which was worsened when taking a deep breath. In 2 weeks post-operatively, their conditions were relieved. Their complications were due to the effects of the puncture on costal neck. There was nerve compression complication caused by leakage of bone cement extrapyramidally. Conclusions The percutaneous vertebroplasty through unilateral approach for fracture in the middle thoracic vertebera is a safe and effective method.
出处
《中国骨肿瘤骨病》
2010年第6期509-512,共4页
Chinse Journal Of Bone Tumor And Bone Disease
关键词
单路径
经皮椎体成形术
胸椎
骨折
Unilateral approach
Percutaneous Vertebroplasty
Thoracic vertebera
Fractures
