OVCFs患者经皮后凸成形术后椎体高度恢复的影响因素分析

发布时间：2019-06-20 10:11

【摘要】：[目的]分析骨质疏松性椎体压缩骨折(osteoporotic vertebral compression fractures,OVCFs)患者行后凸成形术(percutaneous kyphoplasty,PKP)后椎体高度恢复的影响因素,为临床治疗提供参考。[方法]2012年4月~2016年9月在本院因单个椎体OVCFs行PKP的患者共52例,回顾性分析52例患者的临床及影像资料,以椎体高度恢复量为应变量,以性别、年龄、体重指数(body mass index,BMI)、骨折时间、骨密度T值、术前椎体高度、骨折节段、骨水泥注入量、术中球囊最大压力为自变量,进行统计学分析。[结果]52例患者PKP术后椎体高度恢复满意,多重线性回归分析显示:骨折时间(b=-0.28,P=0.002)、骨密度(b=-0.55,P0.001)、术前椎体高度(b=-0.43,P0.001)对椎体高度恢复的影响起主要作用。[结论]PKP能有效恢复OVCFs患者的椎体高度,骨密度低、术前椎体压缩程度重、骨折时间短的患者更容易通过PKP恢复椎体高度。
[Abstract]:[Objective] To analyze the influence factors of post-post-kyphoplasty (PKP) and post-kyphoplasty (PKP) in the patients with osteoporotic vertebral compression fractures (OVCFs) and to provide reference for clinical treatment. [Methods] The clinical and image data of 52 patients were analyzed retrospectively from April,2012 to September,2016, and the clinical and image data of 52 patients were analyzed retrospectively, and the height recovery of the vertebral body was the corresponding variable, including sex, age, body mass index (BMI), and fracture time. The value of bone mineral density (T), the height of the vertebral body, the level of the fracture, the injection of the bone cement, the maximum pressure of the balloon during the operation were the independent variables, and the statistical analysis was performed. [Results] In 52 patients with PKP, the vertebral body height was satisfactory, and the multiple linear regression analysis showed that the fracture time (b =-0.28, P = 0.002), the bone mineral density (b =-0.55, P0.001), the preoperative vertebral body height (b =-0.43, P0.001) played a major role in the reduction of the height of the vertebral body. [Conclusion] PKP can effectively restore the height of the vertebral body, the low bone density, the recompression of the vertebral body and the short time of fracture of the patients with the OVCFs, and the height of the vertebral body can be recovered more easily by the PKP.
【作者单位】：江苏大学附属医院骨科;
【基金】：江苏省临床医学研究中心基金(编号:BL2012004) 江苏大学医学临床科技发展基金(编号:JLY20120154)
【分类号】：R687.3

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