应用弯角装置单侧穿刺行PVP治疗骨质疏松性胸腰椎压缩骨折的疗效分析

发布时间：2018-03-19 21:02

  本文选题：骨质疏松性胸腰椎压缩骨折　切入点：椎体成形术　出处：《中国脊柱脊髓杂志》2017年07期 　论文类型：期刊论文

【摘要】：目的:探讨应用弯角装置单侧穿刺行经皮椎体后凸成形术(percutaneous vertebroplasty,PVP)治疗骨质疏松性胸腰椎压缩骨折(osteoporotic vertebral compression fractures,OVCFs)的临床效果。方法:回顾性分析我院2015年1月~2016年1月应用弯角装置行单侧穿刺PVP治疗的47例OVCFs患者的临床资料,男14例,女33例;年龄53~89岁(66.4±6.5岁)。36例为单节段椎体骨折,11例为双节段椎体骨折;骨折椎体:T9 7节,T10 7节,T11 9节,T12 13节,L1 12节,L2 9节,L3 1节。记录术中透视时间、骨水泥用量,采用VAS评分、ODI评估手术前后疼痛程度及腰椎功能情况;测量计算手术前后伤椎相对高度,观察局部后凸Cobb角恢复情况;观察术中骨水泥渗漏(静脉渗漏及椎体周围渗漏)及其他并发症的发生情况。结果:术中透视时间1.6±0.3min;骨水泥用量6.7±1.2ml,骨水泥分布均匀;11例患者术中出现骨水泥渗漏,骨水泥渗漏率为23.4%。术后随访3~12个月(6.5±1.3个月),术前、术后2d和末次随访时的VAS评分、ODI、伤椎相对高度及局部后凸Cobb角分别为:7.6±1.3分、(71.4±3.2)%、0.48±0.21、15.5°±4.2°;2.2±1.0分、(27.2±2.6)%、0.82±0.17、7.2°±2.8°;1.7±0.7分、(26.5±2.7)%、0.80±0.15、7.5°±3.7°;术后2d和末次随访时的VAS评分、ODI和局部后凸Cobb角均较术前明显改善,伤椎相对高度较术前均明显恢复,差异均有统计学意义(P0.05);术后2d与末次随访时比较差异均无统计学意义(P0.05)。结论:应用弯角装置行单侧穿刺PVP治疗OVCFs可使骨水泥分布均匀,安全有效,临床效果满意。
[Abstract]:Objective: To investigate the application of corner device of unilateral puncture percutaneous kyphoplasty (percutaneous vertebroplasty, PVP) for the treatment of osteoporotic thoracolumbar vertebral compression fracture (osteoporotic vertebral compression fractures, OVCFs) clinical effect. Methods: a retrospective analysis of our hospital in January 2015 January ~2016 application of corner device for unilateral puncture in the treatment of PVP the clinical data of 47 cases of OVCFs patients, 14 were male, 33 were female; aged 53~89 (66.4 + 6.5).36 patients were single vertebral fractures, 11 cases of double vertebral fractures; fracture of vertebral body: T9 7, T10 7, T11 9, T12 13, L1 12 L2 L3, section 9, Section 1. Intraoperative fluoroscopy time, bone cement, using the VAS score and ODI assessment before and after surgery pain and lumbar function before and after surgery; measure vertebral relative height, kyphosis Cobb angle to observe the recovery; postoperative bone cement leakage (static 鑴夋笚婕忓強妞庝綋鍛ㄥ洿娓楁紡)鍙婂叾浠栧苟鍙戠棁鐨勫彂鐢熸儏鍐，

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