单侧与双侧PKP治疗骨质疏松性椎体压缩骨折的临床疗效比较

发布时间：2018-04-12 15:48

本文选题：骨质疏松 + 椎体压缩性骨折　；参考：《中国矫形外科杂志》2017年16期

【摘要】：[目的]探讨单侧与双侧经皮椎体后凸成形术(PKP)在治疗骨质疏松性椎体压缩性骨折(OVCFs)的价值。[方法]选择本院2013年1月~2014年12月收治的132例OVCFs患者,并随机分为2组,每组66例。单侧组给予单侧PKP,双侧组给予双侧PKP治疗。观察并比较两组手术时间、X线照射时间、Cobb角、椎体前缘高度、疼痛视觉模拟评分(VAS)、健康状况(SF-36简表)及骨水泥渗漏情况。[结果]双侧组手术时间和X线照射时间均明显大于单侧组(P0.05)。术后3 d、1年两组患者Cobb角和VAS评分均较术前显著降低(P0.05),但两组间差异无统计学意义(P0.05)。术后3 d、1年两组患者椎体前缘高度、SF-36评分均较术前明显升高(P0.05),但两组间差异无统计学意义(P0.05)。单侧组骨水泥渗漏率为6.6%,双侧组为11.5%,两组比较差异无统计学意义(P0.05)。[结论]单侧与双侧PKP均可有效治疗OVCFs,缓解疼痛,改善脊柱畸形,临床效果相当。单侧PKP具有手术时间短、创伤小、放射暴露少等优点。
[Abstract]:[objective] to evaluate the value of unilateral and bilateral percutaneous transluminal kyphoplasty (PKP) in the treatment of osteoporotic vertebral compression fracture (OV CFS).[methods] 132 patients with OVCFs from January 2013 to December 2014 were randomly divided into 2 groups, 66 cases in each group.The unilateral group was given unilateral PKP and the bilateral group was treated with bilateral PKP.To observe and compare the operation time and X-ray irradiation time of Cobb angle, the height of the anterior edge of vertebral body, the visual analogue score of pain and visual analogue, the health status of SF-36, and the leakage of bone cement.[results] the operation time and X ray irradiation time of bilateral group were significantly longer than that of unilateral group (P 0.05).On the 3rd day after operation, the Cobb angle and VAS score in both groups were significantly lower than those before operation (P 0.05), but there was no significant difference between the two groups (P 0.05).On the 3rd day after operation, the SF-36 score of the anterior edge of vertebral body in both groups was significantly higher than that before operation (P 0.05), but there was no significant difference between the two groups (P 0.05).The leakage rate of bone cement in unilateral group was 6.6%, and that in bilateral group was 11.5%. There was no significant difference between the two groups (P 0.05).[conclusion] both unilateral and bilateral PKP can effectively treat OVCFS, relieve pain and improve spinal deformity.Unilateral PKP has the advantages of short operative time, less trauma and less radiation exposure.
【作者单位】：海南医学院附属医院骨科;
【分类号】：R687.3

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