Views: 0 Author: Site Editor Publish Time: 2025-09-20 Keeb Kwm: Qhov chaw
Vertebroplasty yog ib txoj kev ua kom tsawg tsawg uas tsim los kho osteoporotic vertebral compression fractures. Nws yog feem ntau siv rau thoracic thiab lumbar fractures, qhov twg cov pob txha cement yog txhaj rau hauv cov pob txha vertebra kom stabilize cov pob txha, txo qhov mob, thiab kho qhov siab ntawm vertebral. Cov txheej txheem suav nrog ob txoj hauv kev tseem ceeb: Percutaneous Vertebroplasty (PVP) thiab Percutaneous Kyphoplasty (PKP).
Hauv PVP, ib qho me me ntawm li 2 hli yog ua rau ntawm tus neeg mob nraub qaum. Raws li kev taw qhia fluoroscopic, ib rab koob tau nce siab percutaneously los ntawm pedicle mus rau hauv lub cev vertebral. Cov pob txha cement yog tom qab txhaj tshuaj los ntawm txoj haujlwm ua haujlwm, ua kom nrawm nrawm kom ruaj khov ntawm cov pob txha pob txha, tiv thaiv kev sib tsoo ntxiv, thiab muab kev kho mob ntau heev.
Hauv PKP, tom qab nkag mus rau lub pob txha pob txha, lub zais pa yog muab tso rau hauv thiab rov ua kom rov qab ib feem ntawm qhov siab vertebral thiab tsim cov kab noj hniav hauv cov pob txha. Cov pob txha cement yog tom qab txhaj tshuaj nyob rau theem: lub zais pa ua rau cov pob txha nyob ib puag ncig, tsim kev thaiv kev tiv thaiv cov cement to, thaum lub sij hawm txhaj tshuaj txo cov kev txhaj tshuaj, txo qhov kev pheej hmoo ntawm cov cement extravasation.
Ob lub zais pa kyphoplasty (PKP) thiab tsoos percutaneous vertebroplasty (PVP) muab ceev, txhim khu kev qha, thiab ua tau zoo mob nyem, thaum tseem tiv thaiv ntxiv compression lossis vau ntawm pob txha pob txha. Cov kws kho mob tau pom zoo tsis tu ncua lawv cov txiaj ntsig zoo kawg nkaus thaum ntxov, nrog rau tag nrho cov neeg mob siab tshaj li 80%. Thaum nws los txog rau kev txhim kho vertebral qhov siab thiab kho tus txha caj qaum kyphotic deformities, PKP qhia tau zoo tshaj plaws piv rau PVP.
Tus txheej txheem PVP feem ntau siv sijhawm li 30 feeb, thiab cov neeg mob feem ntau tuaj yeem tawm ntawm txaj thiab rov ua haujlwm li qub hauv 24 teev nyob rau hauv kev tiv thaiv lumbar brace. Qhov kev txhawb nqa thaum ntxov no txo qis txoj kev pheej hmoo ntawm kev pw tsaug zog-txog teeb meem, xws li hypostatic pneumonia, siab rwj, thiab tob vein thrombosis, thaum tseem ua rau lub nra ntawm kev saib xyuas mus sij hawm ntev. Ntxiv mus, thaum ntxov ambulation tiv thaiv cov pob txha poob los ntawm lub sij hawm immobility, rhuav lub vicious voj voog ntawm disuse osteoporosis.
Osteoporotic vertebral compression fractures sawv cev rau feem ntau qhia rau vertebroplasty. In patients with reduced bone density and fragility due to osteoporosis, even minor daily activities such as bending, coughing, sneezing, or lifting can cause vertebral fractures, leading to persistent or severe pain that significantly impairs quality of life. Vertebroplasty zoo txo qhov mob, txhim kho tus txha nraub qaum, thiab pab cov neeg mob rov muaj zog.
Vertebroplasty kuj tau qhia rau cov qog nqaij hlav vertebral, xws li hemangiomas, nrog rau cov qog nqaij hlav qog nqaij hlav los ntawm cov qog nqaij hlav xws li ntau yam myeloma, mob ntsws cancer, mob cancer mis, lossis mob qog nqaij hlav prostate. Cov xwm txheej no feem ntau ua rau kev puas tsuaj ntawm osteolytic, kev puas tsuaj ntawm cov kab mob pathological, thiab tus txha caj qaum tsis ruaj khov, ua rau mob hnyav lossis txawm tias lub paj hlwb. Vertebroplasty ntxiv dag zog rau vertebrae, alleviates qhov mob, thiab txo qhov kev pheej hmoo ntawm cov teeb meem ntxiv.
Hauv kev xaiv ua tib zoo, vertebroplasty kuj tseem raug txiav txim siab rau qee qhov mob tawg tawg lossis pob txha hematomas, muab cov kev kho mob ua tau raws li cov qauv kev nyab xeeb tshwj xeeb.