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高压氧联合后路减压固定术综合治疗骨质疏松性椎体骨折30例疗效分析
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- Author:
- No author available
- Journal Title:
- Chinese Journal of Nautical Medicine and Hyperbaric Medicine
- Issue:
- 4
- DOI:
- 10.3760/cma.j.issn.1009-6906.2018.04.013
- Key Word:
- No keyword available
Abstract： 随着我国老龄化的进一步发展,老年人骨质疏松性椎体压缩性骨折(osteoporotic vertebral compression fracture,OVCF)的发生率呈逐年增高趋势[1].OVCF除严重损害老年患者脊柱本身的生物力学性能和生理功能外,还存在相当严重的并发症,如椎体高度丢失、后凸畸形、顽固性背痛、呼吸功能受限、胃肠功能障碍等,严重影响老年人生活质量,也是导致老年OVCF残疾和死亡的主要诱因.多数OVCF均系低能量损伤造成的单纯压缩性骨折,对于伴有神经损伤的严重OVCF的治疗较为棘手,需要解除神经压迫并重建稳定性,且术后有效地促进神经功能恢复,对老年患者的康复极为重要.高压氧(hyperbaric oxygen,HBO)治疗可增加组织内氧分压,改善损伤区域的氧供,维持细胞的有氧代谢,减轻组织水肿,因此在骨科领域得到广泛应用[2].我院采用后路切开椎板减压联合椎弓根螺钉固定、骨水泥重建椎体前柱术式治疗伴有神经损伤的OVCF,术后早期应用HBO治疗,并针对患者进行个体化下肢功能综合康复训练,促进神经功能康复,取得较为满意的疗效.现报道如下.
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