安全性单侧穿刺椎体后凸成形术治疗脊柱压缩骨折疗效及安全性分析

发布时间：2018-03-18 06:12

本文选题：单侧　切入点：椎体后凸成形术　出处：《广东医学》2017年21期 　论文类型：期刊论文

【摘要】：目的探讨安全性单侧穿刺椎体后凸成形术(PKP)在改善脊柱压缩骨折患者功能障碍中的应用及其安全性。方法选取2013年12月至2015年12月期间我院确诊治疗的脊柱压缩骨折患者200例,依据随机数字表法,分为单侧组和双侧组,每组100例。双侧组患者给予常规双侧PKP术治疗,单侧组患者给予单侧PKP术治疗,采用视觉模拟评分法(VAS)评估疼痛程度,采用Oswestry功能障碍指数问卷表(ODI)评估功能障碍程度,随访6个月。统计分析所有患者手术时间、术中出血量、骨水泥注射量、并发症发生情况和治疗前后疼痛程度、Cobb角及治疗前、治疗后1、6个月的功能障碍程度情况。结果单侧组患者手术时间、术中出血量低于双侧组,差异有统计学意义(P0.05);两组患者骨水泥注射量基本相同,差异无统计学意义(P0.05);治疗后,单侧组患者VAS得分明显低于双侧组,差异有统计学意义(P0.05);两组患者Cobb角基本相同,差异无统计学意义(P0.05);两组患者并发症差异无统计学意义(P0.05);单侧组和双侧组患者治疗后1、6个月的ODI得分基本相同,差异无统计学意义(P0.05)。结论与双侧PKP术比较,安全性单侧PKP术治疗脊柱压缩骨折具有相同的疗效及功能障碍改善作用,有利于缓解患者术后疼痛,并可有效减少患者手术时间、术中创伤,具有良好的安全性,值得临床进一步推广。
[Abstract]:Objective to investigate the application and safety of safety kyphoplasty and kyphoplasty in improving the function of patients with spinal compression fracture. Methods 200 patients with spinal compression fracture were selected from December 2013 to December 2015. According to the random digital table method, the patients were divided into unilateral group and bilateral group with 100 cases in each group. Patients in bilateral group were treated with routine bilateral PKP, and patients in unilateral group were treated with unilateral PKP. The degree of pain was evaluated by visual analogue score (VAS). The degree of dysfunction was evaluated by Oswestry index questionnaire and followed up for 6 months. The time of operation, intraoperative blood loss, volume of bone cement injection, incidence of complications and the degree of pain before and after treatment were statistically analyzed. Results the operative time and intraoperative bleeding volume in unilateral group were lower than those in bilateral group, the difference was statistically significant (P 0.05), and the amount of bone cement injection in two groups was basically the same, the difference was not statistically significant (P 0.05). The VAS score of the unilateral group was significantly lower than that of the bilateral group, and the difference was statistically significant (P 0.05), and the Cobb angle of the two groups was basically the same. The difference was not statistically significant (P 0.05), there was no significant difference in complications between the two groups (P 0.05), the ODI scores of unilateral group and bilateral group were basically the same 1 and 6 months after treatment, and the difference was not statistically significant (P 0.05). The treatment of spinal compression fracture by unilateral PKP has the same curative effect and function disorder, which is beneficial to relieve postoperative pain, reduce the operative time and trauma effectively, and has good safety. It is worthy of further clinical promotion.
【作者单位】：昆明市第一人民医院脊柱外科;
【基金】：云南省教育厅科学研究基金项目(编号:2013Z107)
【分类号】：R687.3

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