体位复位联合单侧入路经皮椎体成形术治疗骨质疏松性椎体压缩骨折合并裂隙样变的研究

发布时间：2019-08-01 19:21

【摘要】：目的研究骨质疏松性椎体压缩性骨折(OVCFs)伴裂隙样变(IVC)应用体位复位联合单侧入路经皮椎体成形术(PVP)治疗的效果。方法选取2013年1月至2015年1月该院收治的OVCFs患者101例,33例伴IVC患者为A组,68例不伴IVC为B组。两组均应用体位复位联合PVP治疗,观察和比较两组的临床治疗效果。结果 A组与B组的手术时间及术后下床活动时间对比差异无统计学意义(P0.05),A组的骨水泥注入量明显多于B组(P0.05);A组术中骨水泥渗漏率为15.15%,与B组的10.29%比较差异无统计学意义(P0.05);两组术后伤椎高度与Cobb角均较术前明显改善(P0.05),A组椎体前缘高度改善幅度明显优于B组(P0.05);术后两组VAS评分与ODI评分均较术前明显降低(P0.05),但两组间比较差异无统计学意义(P0.05)。结论体位复位联合单侧入路PVP治疗OVCFs伴IVC安全可靠,疗效显著,裂隙样变并不影响功能及疼痛改善效果。
[Abstract]:Objective to study the effect of postural reduction combined with unilateral percutaneous vertebroplasty (PVP) in the treatment of osteoporotic vertebral compression fracture (OVCFs) with fissured (IVC). Methods from January 2013 to January 2015, 101 patients with OVCFs were treated in our hospital. 33 patients with IVC were group A and 68 patients without IVC were group B. Both groups were treated with postural reduction combined with PVP, and the clinical effects of the two groups were observed and compared. Results there was no significant difference in operation time and postoperative bed activity time between group A and group B (P 0.05). The amount of bone cement injection in group), A was significantly higher than that in group B (P 0.05). The leakage rate of bone cement in group); A was 15.15%, which was not significantly different from that in group B (10.29%). The height of injured vertebrae and the angle of Cobb in both groups were significantly improved compared with those before operation (P 0.05). The improvement of anterior edge height of vertebral body in), A group was significantly better than that in group B (P 0.05), and the VAS score and ODI 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). Conclusion posture reduction combined with unilateral approach PVP is safe and reliable in the treatment of OVCFs with IVC, and the fracture-like change does not affect the function and pain improvement effect.
【作者单位】：核工业四一六医院骨科;
【分类号】：R687.3

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