| 王亚洲,麻文谦.单侧弯角椎体成形术治疗胸腰椎骨质疏松性椎体压缩骨折 30例临床疗效[J].安徽医药,2020,24(6):1187-1191. |
| 单侧弯角椎体成形术治疗胸腰椎骨质疏松性椎体压缩骨折 30例临床疗效 |
| Clinical efficacy of percutaneous curved vertebroplasty in the treatment of thoracolumbar osteoporotic vertebral compression fracture |
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| DOI：10.3969/j.issn.1009?6469.2020.06.032 |
| 中文关键词: 骨质疏松性骨折 胸椎 腰椎 脊柱骨折 椎体成形术 弯角椎体成形 |
| 英文关键词: Osteoporotic fractures Thoracic vertebrae Lumbar vertebrae Spinal fractures Vertebroplasty Percutaneous curved vertebroplasty |
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| 中文摘要: |
| 目的探讨单侧弯角椎体成形术( PCVP)治疗胸腰椎骨质疏松性椎体压缩骨折( OVCF)的临床疗效。方法回顾分析上海市松江区中心医院 2017年 1月至 2018年 6月收治的 60例胸腰椎 OVCF病人的临床资料，其中应用弯角装置单侧穿刺经皮椎体成形术( PVP)治疗组( PCVP组) 30例，常规双侧穿刺 PVP治疗组( PVP组) 30例。记录两组病人的手术时间、 X线曝光次数、术中出血量、骨水泥注入量；术前、术后 24 h、术后 3个月及末次随访采用疼痛视觉模拟评分( VAS)及 Oswestry功能障碍指数(ODI)评价临床疗效，术后复查 X片或 CT评估骨水泥渗漏等相关并发症，资料进行统计学分析。结果 PCVP组的手术时间、 X线曝光次数、术中出血量、骨水泥注入量均少于常规双侧穿刺 PVP组，差异有统计学意义( P＜0.05)。两组病人术后疼痛均明显缓解， PCVP组 VAS评分术后 24 h(2.4±0.8)分、术后 3个月( 2.3±0.6)分及末次随访( 2.4±0.6)分均明显低于术前( 7.8±0.6)分(P＜0.05)ODI术后 24 h(18.8±3.8)%、术后 3个月( 18.6±3.6)%及末次随访( 19.0±3.1)%均明显低于术前( 39.6±3.3)%(P＜0.05)；侧穿刺 PVP组 VAS评分术后 24 h(2.3±0.5)分、术后 3个月( 2.3±0.4)分及末次随访( 2.4±0.9)分均明显低于术前常规双，(8.0±0.5)分( P＜0.05)ODI术后 24 h(19.0±2.7)%、术后 3个月( 18.±3.3)%及末次随访( 19.1±2.3)%均明显低于术前( 40.5±4.2)%(P＜0.05)。术后 24 h、术后 3个月及末次随访 VAS评分及 ODI两组间比较差异无统计学意义( P＞0.05)。骨水泥渗漏 PCVP组发生 2例，渗漏率 6.7%；常规双侧穿刺 PVP组发生 6例，渗漏率 20.0%，两组间比较差异无统计学意义( P＞0.05)。结论 PCVP具有手术时间短、 X线曝光次数少、出血少的优势，治疗胸腰椎 OVCF可取得理想的临床效果。前、术， |
| 英文摘要: |
| Objective To evaluate the clinical efficacy of percutaneous curved vertebroplasty in the treatment of thoracic and lum?bar osteoporotic vertebral compression fracture(OVCF).Methods The clinical data of 60 patients with OVCF in thoracic andlumbar vertebrae who were treated in Shanghai Songjiang District Central Hospital from January 2017 to June 2018 were retrospec?tively analyzed.Patients were assigned into PCVP group and PVP group，with 30 patients in each group.The surgery duration，X?ray frequency，intraoperative blood loss，and bone cement injection volume were recorded and analyzed.The visual analogue scale scores(VAS)and oswestry disability index(ODI)in preoperative，postoperative 24 h，postoperative 3 months and last follow?up were ad?opted to value the clinical improvements.The bone cement leakage and other related complications were observed by postoperativeX?ray or CT scan.The data were statistically analyzed.Results The surgery duration，X?ray frequency，intraoperative blood loss and bone cement injection volume of the PCVP group were less than that of routine bilateral PVP group，the differences were statistical? ly significant(P＜0.05).All the patients in the two groups obtained obvious pain relief.In the PCVP group，the average VAS score at 24 hours(2.4±0.8)，3 months after operation(2.3±0.6)and last follow?up(2.4±0.6)were lower than at preoperation(7.8±0.6)(P＜0.05)，the ODI at 24 hours(18.8±3.8)%，3 months after operation(18.6±3.6)% and last follow?up(19.0±3.1)% were lower than at preoperation(39.6±3.3)%(P＜0.05).In the routine bilateral PVP group，the average VAS score at 24 hours(2.3±0.5)，3 months after operation(2.3±0.4)and last follow?up(2.4±0.9)were lower than at preoperation(8.0±0.5)( P＜0.05)，the ODI at 24 hours(19.0±2.7)%，3 months after operation(18.9±3.3)% and last follow?up(19.1±2.3)% were lower than at preoperation |
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