中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (48): 9112-9115.doi: 10.3969/j.issn.1673-8225.2011.48.046

• 骨与关节临床实践 clinical practice of the bone and joint • 上一篇    下一篇

经皮球囊扩张椎体后凸成形治疗转移瘤引起的胸腰椎压缩性骨折2年随访

孙智勇，钱忠来，梅  昕，杨  炎，姜为民，陈  亮，包肇华，杨惠林   

  1. 苏州大学附属第一医院骨科，江苏省苏州市215006
  • 收稿日期:2011-09-07 修回日期:2011-09-23 出版日期:2011-11-26 发布日期:2011-11-26
  • 通讯作者: 杨惠林，博士，主任医师，教授，博士生导师，苏州大学附属第一医院骨科主任，江苏省苏州市 215006 soochowspine@139.com
  • 作者简介:孙智勇★，1983年生，男，江苏省高邮市人，汉族，2009年广西医科大学毕业，硕士，医师，主要从事脊柱外科的相关研究。 15250104277@139.com
  • 基金资助:

     课题受卫生部公益性行业专项基金资助项目(200802152)和国家自然科学基金资助项目(81171689)资助。

Kyphoplasty expanded by sacculus proprius for the treatment of thoracolumbar vertebral compression fractures caused by metastatic tumor: A 2-year follow-up

Sun Zhi-yong, Qian Zhong-lai, Mei Xin, Yang Yan, Jiang Wei-min, Chen Liang, Bao Zhao-hua, Yang Hui-lin   

  1. Department of Orthopedics，the First Affiliated Hospital of Soochow University，Suzhou  215006，Jiangsu Province, China
  • Received:2011-09-07 Revised:2011-09-23 Online:2011-11-26 Published:2011-11-26
  • Contact: Yang Hui-lin, Doctor, Chief physician, Professor, Doctoral supervisor, Department of Orthopedics，the First Affiliated Hospital of Soochow University，Suzhou 215006，Jiangsu Province, China soochowspine@139.com
  • About author:Sun Zhi-yong★, Master, Physician, Department of Orthopedics，the First Affiliated Hospital of Soochow University，Suzhou 215006，Jiangsu Province, China 15250104277@139.com
  • Supported by:

    Grant of Public Welfare Sector Special Fund of Health Department, No. 200802152*; the National Natural Science Foundation of China, No. 81171689*

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被引次数

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摘要：

背景：经皮球囊扩张椎体后凸成形应用于骨质疏松性压缩性骨折、血管瘤、多发性骨髓瘤等的治疗已经取得很好的效果。
目的：观察应用椎体后凸成形治疗转移瘤引起的胸腰椎压缩性骨折的近期疗效。
方法：对转移瘤引起的胸腰椎压缩性骨折患者实施经皮球囊扩张椎体后凸成形，测量椎体前缘和中部高度的变化和后凸角的变化。术前、术后即刻和术后2年采用疼痛目测类比评分评估疼痛程度，Oswestry功能障碍指数评估患者日常生活功能。
结果与结论：术后即刻椎体前缘和中部高度高于术前(P < 0.05)，患者术后即刻疼痛目测类比评分，Oswestry功能障碍指数，后凸角较术前明显降低(P < 0.05)。以上各指标均于术后2年随访时均维持恒定。说明应用球囊扩张椎体后凸成形治疗转移瘤引起的胸腰椎压缩性骨折，能微创地同时处理多个病灶，强化病椎，减轻疼痛，提高患者生活质量，近期疗效满意。

关键词: 椎体后凸成形, 肿瘤转移, 胸腰椎压缩性骨折, 骨组织工程

Abstract:

BACKGROUND: Kyphoplasty expanded by sacculus proprius has achieved good therapeutic efficacy for the treatment of thoracolumbar vertebral compression fractures caused by metastatic tumor, hemangioma and multiple myeloma. 
OBJECTIVE: To evaluate the clinical efficacy of kyphoplasty expanded by sacculus proprius on the treatment of thoracolumbar vertebral compression fractures caused by metastatic tumor.
METHODS: The patient with thoracolumbar vertebral compression fractures caused by metastatic tumor was treated with kyphoplasty. Outcome data include the anterior and mid-vertebral body height variation, degree of kyphosis, visual analog scale score for pain and Oswestry disability index were collected preoperative, postoperative, and in the two-year follow-up.
RESULTS AND CONCLUSION: The anterior and mid-vertebral body height preoperative was higher than that postoperative (P < 0.05), and the mean visual analog scale score, Oswestry disability index and degree of kyphosis of these patients preoperative were decreased postoperative (P < 0.05) and maintained at two years postoperative. Kyphoplasty is an effective, minimally invasive procedure for the treatment of thoracolumbar vertebral compression fractures caused by metastatic tumor, leading to reduction in pain, improvement in quality of life and satisfied with the short-term curative effect.

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