改良骨水泥推注套筒在经皮椎体成形术中的应用

发布时间：2018-03-27 07:04

  本文选题：单侧开口　切入点：骨水泥推注器　出处：《实用医学杂志》2017年22期

【摘要】：目的比较改良骨水泥推注套筒(前端封闭,单侧开口)与传统直推骨水泥套筒在经皮穿刺椎体成形术(PVP)中的临床应用。方法自2015年1月至2016年6月选取78例有PVP指征的单节骨质疏松压缩性骨折(OVCF),随机分为观察组与对照组(各39例),两组均在DSA透视下实施PVP。对比两组术中X线暴露剂量、手术时间、骨水泥渗漏情况、VAS评分(术前、术后3 d、术后6个月)、术后半年内再骨折率及术后骨水泥分布情况。结果两组均获得随访6~12月,骨水泥渗漏情况:观察组椎旁5例,对照组椎旁9例,椎前1例。两组均未发生神经及血管损伤,无肺栓塞等严重并发症。两组患者随访半年均未发生再骨折。两组放射剂量及手术时间相比有统计学意义(P0.05);两组骨水泥注入量及术前术后VAS评分相比无明显差异(P0.05),两组骨水泥分布比较无明显差异(P0.05),观察组骨水泥渗漏率低于对照组,有统计学意义(P0.05)。结论改良骨水泥推注套筒的使用可缩短手术时间,减少术中X线暴露及降低骨水泥渗漏率,临床效果无差异。
[Abstract]:Objective to compare the modified bone cement injection sleeve. The clinical application of unilateral opening) and traditional direct thrust cement sleeve in percutaneous vertebroplasty. Methods from January 2015 to June 2016, 78 patients with single osteoporotic compression fracture with PVP indication were randomly divided into two groups. The observation group and the control group (39 cases each) were treated with PVP under DSA fluoroscopy. Time of operation, bone cement leakage and VAS score (3 days before operation, 3 days after operation, 6 months after operation, refracture rate within half a year after operation and the distribution of bone cement after operation). Results the follow up of the two groups was 6 ~ 12 months, the condition of bone cement leakage: 5 cases in the observation group, 5 cases in the observation group, 5 cases in the observation group, and 5 cases in the observation group. In the control group, 9 cases were paravertebral and 1 case was prevertebral. There were no serious complications such as pulmonary embolism. No refracture occurred in the two groups after half a year follow-up. There was no significant difference in radiation dose and operation time between the two groups (P 0.05), and there was no significant difference between the two groups in bone cement injection volume and VAS score before and after operation. There was no significant difference in the distribution of bone cement between the two groups. The leakage rate of bone cement in the observation group was lower than that in the control group. Conclusion the application of modified bone cement injection sleeve can shorten the operation time, reduce X-ray exposure during operation and reduce the rate of bone cement leakage. There is no difference in clinical effect.
【作者单位】： 广东省佛山市第六人民医院脊柱关节外科;
【基金】：佛山市卫生和计划生育局医学科研立项(编号:2015073)
【分类号】：R687.3
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本文编号：1670495