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題 名 | Minimally Invasive Treatment of Osteoporotic Vertebral Compression Fracture=微創手術以椎體修補術治療骨質疏鬆所造成的脊椎椎體骨折 |
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作 者 | 陳力輝; 牛自健; 于尚文; 傅再生; 賴伯亮; 陳文哲; | 書刊名 | 長庚醫學 |
卷 期 | 27:4 2004.04[民93.04] |
頁 次 | 頁261-267 |
分類號 | 415.596、415.596 |
關鍵詞 | 經皮膚椎體修補術; 骨質疏鬆症; 脊椎壓迫性骨折; Percutaneous vertebroplasty; Osteoporosis; Vertebral compression fracture; |
語 文 | 英文(English) |
中文摘要 | 背景:使用椎體修補術治療骨質疏鬆引起脊椎骨折,在國內外風行增加中,本報告提出這種微創手術治療成效及其安全性的臨床經驗。 方法:這是經皮膚穿刺椎體修補術的回溯性臨床研究,以此種微創手術,用來治療因骨鬆症造成椎體骨折保療方法失敗的病人,共有75位。我們根據病人疼痛的減輕描述並評估臨床結果。 結果:其中70位病人(共87個椎體以經皮膚穿刺椎體修補術治療),接受至少一年以上的追蹤研究。病人疼痛指數由術前為80±16mm到術後一個月為36±28mm,這種程度的疼痛有明顯有效減輕而回復一般日常從走和活動以維持更好的生活品質。 結論:當然此微創憤通仍有其危險性如感染、導針錯置及骨水泥外漏引起神經功能損傷。但如由專業的醫師診斷,篩選適當病人作此新療法-脊椎椎體修補修,在可能最少併發症下,使骨鬆症引起壓迫性骨折的病人獲得最佳共床滿意結果。 |
英文摘要 | Background: The use of percultaneous vertebroplasty (PV) to treat osteoporotic vertebral fractures is increasing. This investigation assesses the efficacy and safety of PV for refractory pain owing to osteoporotic vertebral compression fractures. Methods: A retrospective investigation of PV was conducted with a minimal of 1 year follow up. PV with polymethoylmethacrylate (PMMA) was performed on 75 patients with osteoporotic vertebral compression fractures that responded poorly to the conservative therapy. Patients were asked to quantify their degree of pain using Huskisson’s visual analogue scale to assess the clinical results. Results: Eighty-seven vertebrae treated using PV in 70 patients were evaluated with a minimal of 1 year follow up. Pain, as assessed on the VAS, decreased from 80±16 mm before PV to 36±28 mm at 1 month after PV and 30±19 mm at the most recent follow up. The reduction in pain from the baseline to 1 month (p=0.031) and to final follow up (p=0.023) were both statistically significant. Sixty-two patients (85.5%) quickly returned to their pre-injury activity level and achieved better quality of life. Conclusions: PV is effective in pain reduction for painful vertebral compression fractures. It provided significant pain relief. Skillful techniques and careful safeguards can minimize the risks of PMMA migration. @@@ |
本系統中英文摘要資訊取自各篇刊載內容。