经皮椎体成形术与经皮椎体后凸成形术治疗老年骨质疏松性椎体骨折的进展
[摘要] 经皮椎体成形术(percutaneous vertebroplasty, PVP)与经皮椎体后凸成形术(percutaneous kyphoplasty, PKP)是一项新的脊柱微创技术,能明显缓解疼痛、维持脊柱稳定性、恢复椎体高度,但是也存在一些并发症。本文就PVP与PKP查阅近年来国内外的相关文献,分析和总结经PVP与PKP治疗老年骨质疏松性椎体骨折的进展。
[关键词] 骨质疏松性椎体骨折;经皮椎体成形术;经皮椎体后凸成形术
[中图分类号] R683.2 [文献标识码] A [文章编号] 1673-9701(2013)34-0016-03
Progress of percutaneous vertebroplasty and percutaneous kyphoplasty in the treatment of osteoporotic vertebral fractures
JIANG Bing ZHU Chengrun
Department of Orthopedics, Anqing Hospital, Anhui Medical University, Anqing 246003, China
[Abstract] PVP and PKP can obviously relieve pain, maintain the stability of the spine, restore the height of vertebral body, but there are some complications. Recent literature concerning PVP and PKP was extensively reviewed and summarized and the research progress of percutaneous vertebroplasty and percutaneous kyphoplasty in the treatment of osteoporotic vertebral fractures was summarized and analyzed.
[Key words] Osteoporotic vertebral fracture; Percutaneous vertebroplasty; Percutaneous kyphoplasty
经皮椎体成形术(percutaneous vertebroplasty,PVP)是近年发展起来的一项脊柱微创新技术,它是借助某些医学影像设备,将骨成形材料在体外经穿刺针注入椎体,达到缓解疼痛、恢复椎体高度的目的,由法国医师Gailbert等于1987年首先报道这一新的微创技术,当时应用该技术成功治疗了1例椎体海绵状血管瘤。此后,PVP成为治疗骨质疏松性椎体骨折的首选方法。1994年美国的Reilay等研究出一种可以膨胀的球囊,将球囊经穿刺针送入椎体,然后将球囊充气,充气的球囊挤压椎体松质骨,在椎体内制造出一定大小的空腔并同时恢复椎体高度,然后在低压下经通道将骨水泥注入椎体,因而该技术被称为椎体后凸成形术(percutaneous kyphoplasty,PKP)[1]。骨质疏松症在老年人尤其是在绝经后妇女中非常常见,这部分...
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