单、双侧椎体成形术治疗骨质疏松性椎体压缩骨折的临床疗效比较

发布时间：2017-12-28 00:08

本文关键词：单、双侧椎体成形术治疗骨质疏松性椎体压缩骨折的临床疗效比较　出处：《中国老年学杂志》2016年16期 　论文类型：期刊论文

【摘要】：目的比较单侧与双侧椎体成形术(PVP)治疗骨质疏松性椎体压缩骨折的临床效果。方法筛选行PVP治疗骨质疏松性椎体压缩骨折的患者62例,根据术式分为单侧组和双侧组,单侧组32例32个椎体,双侧组30例30个椎体。比较两组手术时间、术中X线曝光次数;术后疼痛缓解情况;伤椎高度恢复值及术后并发症。结果所有患者均顺利完成手术,两组术后第2天及术后1年随访时VSA评分较术前均明显改善(P0.05),但两组差异无统计学意义(P0.05);手术时间,X线曝光次数单侧组少于双侧组(P0.05),两组术后伤椎平均高度较术前均有显著恢复(P0.05),但两组差异无统计学意义(P0.05);单侧组骨水泥渗漏率9.4%,双侧组10.0%,两组差异无统计学意义(P0.05),两组均无骨水泥脱离椎体后缘进入神经椎管,也未发现骨水泥渗漏引起的临床症状。结论经皮单侧PVP治疗骨质疏松性椎体压缩骨折,术中掌握好进针角度,并采用多次推注的方法,可以达到与传统的经皮双侧PVP同样的临床效果,且经皮单侧PVP还具有手术时间短、术中创伤小、术中X线辐射剂量少等优点,值得临床术者优先选择。
[Abstract]:Objective to compare the clinical effect of unilateral and bilateral vertebroplasty (PVP) in the treatment of osteoporotic vertebral compression fractures. Methods 62 cases of osteoporotic vertebral compression fractures treated by PVP were selected and divided into unilateral and bilateral groups according to operation. Unilateral group consisted of 32 cases, 32 vertebrae, bilateral group 30 cases, 30 vertebrae. The operation time of the two groups, the number of X-ray exposure in the operation, the relief of pain after the operation, the height recovery of the injured vertebra and the postoperative complications were compared. Results all patients were successfully completed surgery, two group after second days and 1 year follow-up when compared with preoperative VSA score were significantly improved (P0.05), but there was no significant difference between the two groups (P0.05); the operation time, X-ray exposure times were less than unilateral bilateral group (P0.05), the two groups after injury the average height of vertebral than before were recovered significantly (P0.05), but there was no significant difference between the two groups (P0.05 group); unilateral bone cement leakage rate of 9.4%, 10% groups, no significant difference between two groups (P0.05), bone cement from the posterior margin of the vertebral body into the spinal nerve were two groups, found no clinical symptoms caused by the leakage of bone cement. Conclusion percutaneous unilateral PVP treatment of osteoporotic vertebral compression fractures, intraoperative grasp the puncture angle, and the method of repeated injection, can be achieved with the traditional percutaneous bilateral PVP the same clinical effect, and percutaneous unilateral PVP also has the advantages of shorter operative time, less trauma, intraoperative X-ray radiation dose less, it is worthy of clinical surgery is preferred.
【作者单位】：连云港市第二人民医院骨科;清华大学材料学院;
【基金】：连云港市卫生局科研课题计划(1320)
【分类号】：R687.3;R580
【正文快照】： 经皮椎体成形术(PVP)可以在骨质疏松性椎体压缩骨折发生较长时间甚至骨折部分愈合的情况下实施,且可以在椎体骨折压缩程度大于1/2,甚至超过2/3的情况下获得比较满意的疗效〔1〕等优点,在临床得到广泛应用。其主要有单侧PVP和双侧PVP两种术式,两者是否具有同样的临床疗效尚未有

【相似文献】