PKP治疗肥胖患者OVCFs的临床疗效观察

发布时间：2018-05-21 16:27

本文选题：骨折 + 骨质疏松　；参考：《重庆医学》2016年34期

【摘要】：目的评价经皮椎体后凸成形术(PKP)治疗肥胖患者骨质疏松性椎体压缩性骨折(OVCFs)的临床效果。方法回顾分析2010年1月至2015年1月该院采用PKP治疗OVCFs患者202例(233椎),分为非肥胖组(BMI30kg/m2)136例(154椎)和肥胖组(BMI≥30kg/m2)66例(79椎)。统计两组手术时间、术后并发症,评价术前、术后病椎Cobb′s角变化。采用Oswestry功能障碍指数问卷表(ODI)评估患者术后生活质量,视觉模拟评分法(VAS)评分评价术后疼痛症状缓解程度。结果本组202例(233椎)均顺利完成手术,住院期间无死亡病例,无肺栓塞。所有患者均获12~36个月随访,平均随访时间16.4个月。肥胖组术后离床时间、平均住院时间较长,差异有统计学意义(P0.05)。术后1周、术后6个月、末次随访时两组患者VAS评分、ODI、病变椎体Cobb′s角均获得显著改善,非肥胖组改善更明显(P0.05)。结论肥胖可增加PKP手术操作难度,增加术后邻近椎体再骨折发生率。
[Abstract]:Objective to evaluate the clinical effect of percutaneous kyphoplasty (PKP) in the treatment of osteoporotic vertebral compression fracture (OV CFS) in obese patients. Methods from January 2010 to January 2015, 202 patients with OVCFs were treated with PKP. The patients were divided into two groups: nonobese group (n = 20) and obese group (n = 79). The operation time, postoperative complications and preoperative and postoperative changes of Cobb's angle of the diseased vertebrae were evaluated. The quality of life (QOL) and visual analogue score (VAS) were evaluated by Oswestry dysfunction index questionnaire and visual analogue score respectively. Results 202 cases of vertebra 233 were successfully operated. There were no death cases and no pulmonary embolism during hospitalization. All patients were followed up for 12 ~ 36 months, with an average follow-up time of 16.4 months. In the obesity group, the time of leaving bed and the average length of hospitalization were longer, the difference was statistically significant (P 0.05). At 1 week, 6 months and the last follow-up, the VAS score and the Cobb's angle of the diseased vertebral body were significantly improved in the two groups, especially in the non-obese group. Conclusion Obesity can increase the difficulty of PKP operation and increase the incidence of adjacent vertebral refracture.
【作者单位】：贵阳中医学院第一附属医院骨伤科;
【分类号】：R687.3

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