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椎体强化术治疗Kümmel病的效果观察

, PP. 1274-1276

Keywords: 椎体强化术,经皮椎体后凸成形术,Kümmel病

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Abstract:

目的探讨椎体强化术治疗Kümmel的中期疗效。方法2005年7月至2009年7月采用椎体强化术―经皮椎体后凸成形(PKP)治疗确诊Kümmel病11例(14个椎体),T91例,T112例,T127例,L11例,L34例,双椎体l例。均行双侧经皮椎体后凸成形术PKP骨水泥椎体强化治疗。随访时行X线片CT片和MR检查,评估疼痛视觉模拟评分(visualanaloguescales,VAS)及椎体前后缘高度和后凸角恢复情况。结果11例患者术后获得2~4年随访,平均3年。腰痛较术前明显缓解,VAS评分、病椎椎体前缘高度术前比较差异有统计意义(P<0.05);骨折椎前后缘高度比、局部后凸角度与术前比较差异有统计意义(P<0.05)。结论Kümmel病行椎体强化术―经皮椎体后凸成形(PKP)后有效缓解腰背疼痛,部分恢复病椎高度及后凸角。

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