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頁籤選單縮合
題 名 | Vertebroplasty: Analysis of Clinical Outcomes and Predictors of Prognoses=椎體整形手術:臨床結果以及與後因子之分析 |
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作 者 | 許斯凱; 張明元; 高瑛; 謝政達; 黃志達; 黃金山; 張志儒; | 書刊名 | 輔仁醫學期刊 |
卷 期 | 11:1 2013.03[民102.03] |
頁 次 | 頁11-20 |
分類號 | 416.26 |
關鍵詞 | 經皮椎體整形術; 骨質疏鬆; 壓迫性骨折; 預後; Percutaneous vertebroplasty; Osteoporotic compression fracture; Outcome; |
語 文 | 英文(English) |
中文摘要 | 背景:一個回溯性的研究讓我們可以去得知經皮椎體整形手術對於壓迫性骨折治療的有效性,偵測出減少治療效果以及復發的危險因子。方法:我們回顧了從2005 年一月到2009 年十一月一共103 個病人因為壓迫性骨折接受椎體整形手術,經過統計分析比較術前及術後的疼痛指數。結果:在103 個病人之中,除了一個病人有術後的感染之外,沒有其他嚴重的併發症,大部份病人術後有立即且明顯的疼痛指數改善。然而我們也發現一些危險因子讓疼痛的改善比較沒有那麼明顯,有顯著統計意義(p<0.05) 的有1. 年紀2. 多節的3. 非骨鬆。另外如果疼痛指數的改善若不如預期,有較高的機會需要再次手術。結論:經皮椎體整形術對於急性期壓迫性骨折是有效緩解疼痛且安全的治療方式。我們發現的疼痛改善會不如預期的危險因子而且這些因子也容易在未來造成需再次的手術。 |
英文摘要 | Background and purpose: A retrospective study was carried out to detect risk factors for less improvement in symptoms after vertebroplasty and the efficiency of vertebroplasty for patients with a compression fracture of spine. Methods: We retrospectively reviewed 103 patients with compression fractures from January 2005 to November 2009. Patients received percutaneous vertebroplasty (PV) with bone cement augmentation by a single neurosurgeon. Comparisons between preoperative and postoperative visual analogue scale (VAS; 0~10) scores were made in order to identify the degree of improvement. The statistical analysis indicated the efficiency and risk factors. Results: Among our 103 patients, postoperative infection was noted in 1 patient. There were no other major complications. In general, dramatic improvements in initial clinical symptoms were noted using VAS scores. However, patients with risk factors made less improvement than those without. The risk factors were (1) old age (p<0.05), (2) multiple-level compression fractures (p<0.05), and (3) other underlying diseases associated with the compression fracture such as metastasis and osteomyelitis (p<0.05). Furthermore, we also found that if there was less improvement in VAS scores after PV, there was a higher chance that 1 or more subsequent operations would be needed. Conclusions: PV is a good method for pain relief in the acute stage of a compression fracture. However, since osteoporosis is a systemic disease, further medical treatment is needed in addition to surgical intervention. Our analysis identified some risk factors that are predictors of limited improvement of symptoms in our case series. In addition, there was a trend between patients with lower VAS score improvement and the occurrence of fracture at an adjacent level. |
本系統中英文摘要資訊取自各篇刊載內容。