弯角椎体成形装置的早期疗效评估及对骨水泥分布的影响

发布时间：2018-01-26 16:19

本文关键词： 骨质疏松椎体骨折椎体成形术弯角椎体成形装置骨水泥分布　出处：《中国矫形外科杂志》2017年10期 　论文类型：期刊论文

【摘要】：[目的]通过比较弯角穿刺PVP、单侧穿刺PVP和双侧穿刺PVP治疗胸腰椎骨质疏松性椎体压缩性骨折(OVCFs)的疗效,探讨弯角穿刺PVP的优势。[方法]将2015年2月~2016年2月75例胸腰椎单椎体OVCFs的患者随机分为3组,分别应用弯角穿刺PVP、单侧穿刺PVP和双侧穿刺PVP。统计并比较3组手术时间、骨水泥注入量、术后3 d的VAS评分、Cobb角恢复率、骨水泥渗漏率和椎体内骨水泥的分布情况。[结果]所有患者均顺利完成手术,未出现严重并发症。3组术后3 d的VAS评分与术前比较差异均有统计学意义(P0.05);在Cobb角恢复率及骨水泥渗漏率方面,3组间比较差异无统计学意义(P0.05);在手术时间、骨水泥注入量方面,弯角PVP组与单侧PVP组均小于双侧PVP组且差异有统计学意义(P0.05);骨水泥理想分布的椎体在弯角PVP组23例(92.00%),在双侧PVP组19例(76.00%),两组比较差异无统计学意义(P0.001 7),在单侧PVP组3例(12.00%),与前两组比较差异均有统计学意义(P0.001 7)。[结论]应用弯角椎体成形装置治疗OVCFs短期内可取得满意的临床效果,减少手术时间、骨水泥注入量的同时又优化骨水泥在椎体内的分布,改善术后骨折椎体的稳定性。
[Abstract]:[Objective] to compare the efficacy of angle puncture, unilateral puncture PVP and bilateral puncture PVP in the treatment of osteoporotic vertebral compression fracture of thoracolumbar vertebrae. To explore the advantages of angle puncture PVP. [Methods: from February 2015 to February 2016, 75 patients with single thoracolumbar vertebra OVCFs were randomly divided into 3 groups. The patients were treated with angle puncture PVP. The time of operation, the amount of bone cement injected and the recovery rate of VAS angle were compared between unilateral puncture PVP and bilateral puncture PVP. The leakage rate of bone cement and the distribution of bone cement in vertebral body. [Results: all the patients completed the operation successfully, and the VAS scores of 3 days after operation in group 3 without serious complications were significantly different from those before operation (P 0.05). There was no significant difference in the recovery rate of Cobb angle and the leakage rate of bone cement among the three groups (P 0.05). The time of operation and the amount of bone cement injection were lower in PVP group and PVP group than in bilateral PVP group, and the difference was significant (P 0.05). The ideal distribution of bone cement was in PVP group (23 cases) and in bilateral PVP group (19 cases). There was no significant difference between the two groups (P 0.001 7), but in the unilateral PVP group, 3 cases (12. 00%) were significantly different from the former two groups (P 0. 001 7). [Conclusion: the application of curved vertebroplasty device in the treatment of OVCFs in a short period of time can achieve satisfactory clinical results, reduce the operation time, bone cement injection and optimize the distribution of bone cement in the vertebral body at the same time. To improve the stability of fracture vertebral body after operation.
【作者单位】：郑州大学第一附属医院骨科;中国人民解放军总医院;
【分类号】：R687.3
【正文快照】： 全球每3 s就有1例骨质疏松症患者发生骨为3组,根据手术方式不同分为单侧穿刺PVP组25折[1],其中骨质疏松性椎体压缩性骨折(osteoporotic例、双侧穿刺PVP组25例和弯角穿刺PVP组25vertebral compression farctures,OVCFs)较为常见,例。3组患者的性别、年龄及骨折椎体分布等术前资

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