骨填充囊袋在胸腰椎骨质疏松性爆裂骨折中的应用

发布时间：2018-06-03 21:49

本文选题：编织囊袋 + 后凸成形术　；参考：《山东医药》2017年46期

【摘要】：目的探讨采用骨填充囊袋(VESSEL-X)系统行编织囊袋扩张椎体后凸成形术治疗胸腰椎骨质疏松性爆裂骨折的临床效果。方法选择无神经症状的胸腰椎骨质疏松性爆裂骨折患者46例,采用椎体后凸成形术治疗,术中应用VESSEL-X系统进行骨水泥灌注操作。记录手术时间及骨水泥灌注量,观察术中及术后骨水泥渗漏情况、发生肺栓塞情况。术后随访6~9(6.85±0.85)个月,于术前、术后第2天、末次随访时进行视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI)评价,并以正侧位X片及CT检查为基础,测量手术前后病椎前缘高度、病椎中间高度、病椎Cobb角。结果 46例患者均顺利完成手术,平均手术时间(36.5±6.3)min,平均骨水泥灌注量为(4.5±0.8)m L,术中发现骨水泥渗漏4例,均未发生肺栓塞情况。术后第2天、末次随访时VAS、ODI评分、病椎前缘高度、病椎中间高度、病椎Cobb角均较术前明显改善(P均0.05),末次随访与术后第二天相比差异无统计学意义(P均0.05)。结论采用VESSEL-X系统编织囊袋扩张椎体后凸成形术对胸腰椎骨质疏松性爆裂骨折具有良好的临床疗效。
[Abstract]:Objective to investigate the clinical effect of vertebral kyphoplasty with braided pouch dilated vertebra with bone filling VESSEL-X system in the treatment of osteoporotic burst fracture of thoracolumbar vertebrae. Methods 46 patients with osteoporotic burst fracture of thoracolumbar vertebrae without neurological symptoms were treated with kyphoplasty and VESSEL-X system was used during operation. The time of operation and the amount of bone cement perfusion were recorded, and the leakage of bone cement and pulmonary embolism were observed during and after operation. The visual analogue score (VAS) and the Oswestry dysfunction index (Oswestry index) were evaluated before and after operation. The anterior height and the middle height of the diseased vertebrae were measured on the basis of X ray and CT examination. Cobb angle of diseased vertebrae. Results all the 46 patients were successfully operated, the average operation time was 36.5 卤6.3 min, the average volume of bone cement perfusion was 4.5 卤0.8 mL, 4 cases of bone cement leakage were found during the operation, and no pulmonary embolism occurred. On the second day after operation, VAS-ODI score, anterior height of the diseased vertebra, height of the middle of the diseased vertebrae, and Cobb angle of the diseased vertebrae were all significantly improved than those of the preoperation (P < 0.05), but there was no significant difference between the last follow-up and the second day after operation (P < 0.05). Conclusion kyphoplasty with VESSEL-X system braided bag dilated vertebral body has good clinical effect on thoracolumbar osteoporotic burst fracture.
【作者单位】：山东中医药大学第一临床医学院;山东中医药大学附属医院;山东省千佛山医院;济南市中医院;
【分类号】：R687.3

【相似文献】