CAJ | 학술논문

目的探讨Catheter fabric椎体后凸成形术的初步临床应用效果. 方法 2007年12月至2008年3月6例不同病因的椎体骨折患者接受Catheter fabric椎体后凸成形术治疗,其中男1例,女5例;平均73.2岁(54～82岁),4例为骨质疏松性椎体骨折,1例为胃癌术后椎体转移,1例为多发性骨髓瘤.6例患者共有10个骨折椎体,其中T_51椎,T_(10) 1椎,T_(11),2椎,T_(12) 4椎,L_1 2椎.测量术前、术后2 d及末次随访时X线片椎体前缘高度变化;术后CT扫描判断骨水泥住椎体内的分布;采用视觉模拟法(VAS)评分及Oswestry功能障碍指数(ODI)评分综合评估手术疗效. 结果随访12～21个月,平均16.3个月,伤椎前缘高度比值由术前平均(44.5±3.1)%恢复至术后(72.7±2.5)%,差异有统计学意义(P<0.05),随访时为(71.4±2.1)%,与术后比较差异无统计学意义(P>0.05).VAS及ODI评分术前分别为9.1±1.7、87.3±12.7,术后分别为2.3±0.6、30.4±7.9,差异均有统计学意义(P<0.05);随访时分别为2.1±0.3、29.9±6.7,与术后比较差异均无统计学意义(P>0.05).骨水泥在椎体内分布均匀,无渗漏;无椎体再骨折. 结论 Catheter fabric椎体后凸成形术安全,近期疗效满意,可用于不同病因的椎体骨折.
목적 탐토Catheter fabric추체후철성형술적초보림상응용효과. 방법 2007년12월지2008년3월6례불동병인적추체골절환자접수Catheter fabric추체후철성형술치료,기중남1례,녀5례;평균73.2세(54～82세),4례위골질소송성추체골절,1례위위암술후추체전이,1례위다발성골수류.6례환자공유10개골절추체,기중T_51추,T_(10) 1추,T_(11),2추,T_(12) 4추,L_1 2추.측량술전、술후2 d급말차수방시X선편추체전연고도변화;술후CT소묘판단골수니주추체내적분포;채용시각모의법(VAS)평분급Oswestry공능장애지수(ODI)평분종합평고수술료효. 결과수방12～21개월,평균16.3개월,상추전연고도비치유술전평균(44.5±3.1)%회복지술후(72.7±2.5)%,차이유통계학의의(P<0.05),수방시위(71.4±2.1)%,여술후비교차이무통계학의의(P>0.05).VAS급ODI평분술전분별위9.1±1.7、87.3±12.7,술후분별위2.3±0.6、30.4±7.9,차이균유통계학의의(P<0.05);수방시분별위2.1±0.3、29.9±6.7,여술후비교차이균무통계학의의(P>0.05).골수니재추체내분포균균,무삼루;무추체재골절. 결론 Catheter fabric추체후철성형술안전,근기료효만의,가용우불동병인적추체골절.
Objective To explore the primary clinical efficacy of catheter fabric kyphoplasty (CFKP) for vertebral fractures. Methods From December 2007 to March 2008, CFKP was performed for one male and 5 female patients with vertebral fractures caused by different diseases. Four patients had osteoporotic vertebral compression fractures, one had vertebral metastasis following gastric cancer and one had multiple myeloma. The anterior vertebral height was measured before operation, 2 days after operation and at the final follow-up. CT examination was conducted postoperatively to determine the distribution of cement.Visual Analog Scale (VAS) and the Oswestry Disability Index (ODI) were chosen to evaluate pain status and functional activity. Results The mean follow-up was 16.3 months (range, 12 to 21 months). The anterior vertebral height of the fractured vertebra was restored averagely from preoperative (44.5±3.1)% to postoper-ative (72.7±2.5)% and to the follow-up (71.4±2.1)%. There was a significant improvement between the preoperative and postoperative values (P <0.05) but no difference between the postoperative and final fol-low-up values (P > 0.05). The VAS was 9.1±1.7 preoperatively, 2.3±0.6 postoperatively, and 2.1±0.3 at the final follow-up; the ODI was 87.3±12.7 preoperatively, 30.4±7.9 postoperatively, and 29.9± 6.7 at the final follow-up. There were statistically significant improvements in VAS and ODI between the post-operative assessment and the pre-operative assessment (P <0.05), but no statistically significant dif-ferences between the postoperative and the final follow-up values (P >0.05). Conclusion CFKP is a safe and effective procedure for osteoporotic and osteolytic vertebral fractures.