【摘要】目的：观察骨质疏松椎体压缩性骨折采用椎体成形术治疗的临床疗效。方法：选取一组48例骨质疏松椎体压缩性骨折患者行经皮椎体成形术(PVP)，术前及术后3d进行疼痛视觉评分和活动能力评分，拍摄X线检查骨折复位情况，测量Cobb角；随访期间观察患者疼痛缓解，并分析骨水泥渗漏等并发症。结果：视觉模拟评分(VAS评分)和Cobb角术前与术后比较，差异均有统计学意义。所有患者腰背痛明显好转。随访一年，腰背痛无复发。发生骨水泥漏2例，未见其他并发症发生。Cobb角无明显改变，椎体高度未见丢失。结论：经皮椎体成形术是一种有效、安全的治疗骨质疏松椎体压缩性骨折的方法，值得临床推广。

    【关键词】骨质疏松；椎体压缩性骨折；椎体成形术

    【Abstract】Objective:Clinical analysis of percutaneous vertebroplasty in treatment of osteoporotic vertebral compression fractures.Methods:A group of 48 patients underwent percutaneous vertebrop lasty(PVP) Visual analogue score(VAS) and mobility were evaluated 3 days before and after the operation.X-ray was taken of reduction conditions,and Cobb angle were measured.Relief of back pain,recovery of living ability and complications were observed in the follow-up of 12 months.Results:The results of Visual analogue score and Cobb angle were significantly different(P<0.05). The pain in the back disappeared generally.There was no recurrence of back pain nor any bss of height in the vertebrae involved. Bone cement leakage occurred in 2 cases,no other complications occurred.Conclusion:PVP is a safe and effective way to treat vertebra lcompression fractures in thoraco lumbar spine.It is worthy of clinical. ......