复合生物型自体红骨髓磷酸钙水泥加可吸收颗粒治疗骨质疏松性脊柱骨折(1)
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[摘要] 目的：探讨应用复合生物型自体红骨髓磷酸钙水泥加可吸收颗粒治疗骨质疏松性脊柱骨折的疗效。方法：采用经皮椎体成形术，注入复合生物型自体红骨髓磷酸钙水泥加可吸收颗粒治疗骨质疏松性脊柱骨折17例，包括胸椎12例，腰椎5例；平均随访6个月，观察手术疗效和并发症情况，同时以疼痛分级和Dallas评分的形式记录术前、术后的相应得分，通过量化后的数据，应用统计学软件进行统计分析，评价术后疼痛缓解情况。结果：所有病例腰背痛症状均于术后8～24 h基本缓解，15例患者术后卧床24 h后能坐起，随访4～8个月病情稳定。结论：采用经皮椎体成形术，注入复合生物型自体红骨髓磷酸钙水泥加可吸收颗粒治疗骨质疏松性脊柱骨折操作简单，较安全，可有效缓解疼痛。
[关键词] 红骨髓；椎体成形；骨水泥；脊柱骨折
[中图分类号] R68[文献标识码]A [文章编号]1673-7210(2009)03(b)-026-02
The treatment of osteoporotic thoracolumbar compressive fractures by grafting biotic autogeneic bone marrow and resorbent grains with percutaneous vertebroplasty
WU Hongbo, WU Mingxin, DENG Lanying, XIE Huijian, DENG Songbo, GUO Hanming, YAO Shifen
(Orthopedic Department, the Affiliated Huizhou Central Hospital of Guangdong Medical College, Huizhou516001, China)
[Abstract] Objective: To assess the clinical effect of percutaneous vertebroplasty(PVP) in the treatment of osteoporotic thoracolumbar compressive fractures by grafting biotic autogeneic bone marrow and resorbent gains. Methods: 17 cases (12 thoracic vertebra and 5 lumbar) underwent percutaneous vertebroplasty of biotic autogeneic bone marrow and resorbent gains. The treatment results and complications were observed. Furthermore, in order to compare the pain degrees between preoperation and postoperation, the pain scale and Dallas score were recorded in all cases during preoperation and postoperation, and the above records were transmitted to data which could be analyzed by computer with the help of the statistic of SPSS 10.0. Results: After an average follow-up of 6 months, the symptom of lumbodorsal pain of all cases were relieved in 8 to 24 hours after operation. 14 cases could rise to get up in 24 hours after operation and all cases recovered after an average follow-up of 4 to 8 months. Conclusion: The operation of osteoporotic thoracolumbar compressive fractures by grafting biotic autogeneic bone marrow and resorbent gains with percutaneous vertebroplasty (PVP) is simple and safe, and the symptom of pain of the patients is relieved.
[Key words] Bone marrow; Percutaneous vertebroplasty (PVP); Bone cement; Spine fracture ......
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