经皮椎体成形术治疗老年骨质疏松椎体压缩性骨折术后邻近椎体骨折的相关危险因素

发布时间：2018-06-01 19:44

本文选题：骨质疏松 + 经皮椎体成形术　；参考：《中国老年学杂志》2015年16期

【摘要】：目的探讨经皮椎体成形术(PVP)治疗老年骨质疏松椎体压缩性骨折(OVCFs)术后邻近椎体骨折的相关危险因素。方法回顾性分析行PVP治疗的OVCFs患者年龄、性别、体质量指数(BMI)、术前腰椎骨密度、术前视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI)评分、骨代谢指标、椎体压缩程度、手术入路、麻醉方式、骨水泥注射量、骨水泥渗漏情况及术后抗骨质疏松治疗等情况。将上述指标作为可能相关因素纳入Logistic回归分析研究得出术后邻近椎体骨折的相关危险因素。结果 217例老年OVCFs患者中术后发生相邻椎体骨折46例。单因素分析结果显示术后发生相邻椎体骨折与吸烟史、术中骨水泥使用剂量、椎间盘骨水泥渗漏、术后未行抗骨质疏松治疗显著相关(P0.05),而与年龄、性别、病程、手术入路、麻醉方式等无相关性(P0.05)。结论老年OCVFs患者PVP术后发生邻近椎体骨折的独立危险因素包括吸烟史,骨水泥使用量,骨水泥渗漏及抗骨质疏松治疗史。
[Abstract]:Objective to investigate the risk factors of adjacent vertebral fractures after percutaneous vertebroplasty (PVP) in elderly patients with osteoporotic vertebral compression fractures (OVCFS). Methods the age, sex, body mass index (BMI), bone mineral density (BMD) of lumbar vertebrae, preoperative visual analogue score (VAS), bone metabolism index, vertebral compression degree, operative approach and anaesthesia were analyzed retrospectively in OVCFs patients treated with PVP. Bone cement injection volume, bone cement leakage and anti-osteoporosis treatment after operation. The above indexes were used as possible correlation factors in Logistic regression analysis to find out the risk factors of adjacent vertebral fracture after operation. Results 46 cases of adjacent vertebral body fracture occurred after operation in 217 elderly patients with OVCFs. Univariate analysis showed that adjacent vertebral fracture and smoking history, intraoperative dosage of bone cement, leakage of intervertebral disc bone cement, no anti-osteoporosis treatment after operation were significantly related to age, sex, course of disease, operative approach. The anaesthesia method was not related to P0.05. Conclusion the independent risk factors of adjacent vertebral fracture after PVP in elderly patients with OCVFs include smoking history, bone cement usage, bone cement leakage and anti-osteoporosis treatment.
【作者单位】：黔西南州人民医院脊柱外科;
【基金】：黔西南州科学技术局立项课题(No.2014-17)
【分类号】：R687.3

【共引文献】