中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2011年
23期
3188-3189
,共2页
陈亮清%白龙%解志波%周景
陳亮清%白龍%解誌波%週景
진량청%백룡%해지파%주경
骨折固定术,内%骨质疏松
骨摺固定術,內%骨質疏鬆
골절고정술,내%골질소송
Fracture fixation,interal%Osteoporosis
目的 探讨骨水泥强化椎弓根钉固定在骨质疏松脊柱手术中的临床应用价值.方法 将48例脊柱退变患者随机分成治疗组、对照组各24例,均行常规椎弓根钉固定术,治疗组在植入螺钉前于椎弓根钉道注入聚甲基丙烯酸甲酯(PMMA)骨水泥.观察比较两组疼痛状况(VAS)评分、脊柱稳定性、神经症状(JOA)评分等.结果 治疗组VAS评分:术前(7.21±1.01)分、术后1个月(3.12±1.65)分、术后6个月(3.08±1.10)分、术后12个月(3.09±1.25)分,对照组分别为(7.23±1.98)分、(4.31±2.13)分、(4.22±1.48)分、(4.12±1.34),两组在术后1个月、6个月、12个月VAS评分差异均有统计学意义(t=2.15、2.08、1.97,均P＜0.05).治疗组脊柱稳定23例、不稳定1例,对照组分别为19例、5例,两组差异有统计学意义(x2 =5.031,P＜0.05).治疗组JOA评分:术前(14.12±2.65)分、术后1个月(26.76±4.36)分、术后6个月(26.78±2.10)分、术后12个月(26.96±1.89)分,对照组分别为(14.41±2.13)分、(24.13±5.28)分、(24.32±1.68)分、(24.32±1.99)分,两组术前JOA评分差异无统计学意义(P＞0.05),两组术后1个月、6个月、12个月JOA评分差异均有统计学意义(t=3.54、3.39、3.56,均P＜0.05).结论 骨水泥强化椎弓根钉固定在骨质疏松脊柱手术中可明显改善疼痛及神经症状,增强脊柱稳定性,提高临床疗效.
目的 探討骨水泥彊化椎弓根釘固定在骨質疏鬆脊柱手術中的臨床應用價值.方法 將48例脊柱退變患者隨機分成治療組、對照組各24例,均行常規椎弓根釘固定術,治療組在植入螺釘前于椎弓根釘道註入聚甲基丙烯痠甲酯(PMMA)骨水泥.觀察比較兩組疼痛狀況(VAS)評分、脊柱穩定性、神經癥狀(JOA)評分等.結果 治療組VAS評分:術前(7.21±1.01)分、術後1箇月(3.12±1.65)分、術後6箇月(3.08±1.10)分、術後12箇月(3.09±1.25)分,對照組分彆為(7.23±1.98)分、(4.31±2.13)分、(4.22±1.48)分、(4.12±1.34),兩組在術後1箇月、6箇月、12箇月VAS評分差異均有統計學意義(t=2.15、2.08、1.97,均P＜0.05).治療組脊柱穩定23例、不穩定1例,對照組分彆為19例、5例,兩組差異有統計學意義(x2 =5.031,P＜0.05).治療組JOA評分:術前(14.12±2.65)分、術後1箇月(26.76±4.36)分、術後6箇月(26.78±2.10)分、術後12箇月(26.96±1.89)分,對照組分彆為(14.41±2.13)分、(24.13±5.28)分、(24.32±1.68)分、(24.32±1.99)分,兩組術前JOA評分差異無統計學意義(P＞0.05),兩組術後1箇月、6箇月、12箇月JOA評分差異均有統計學意義(t=3.54、3.39、3.56,均P＜0.05).結論 骨水泥彊化椎弓根釘固定在骨質疏鬆脊柱手術中可明顯改善疼痛及神經癥狀,增彊脊柱穩定性,提高臨床療效.
목적 탐토골수니강화추궁근정고정재골질소송척주수술중적림상응용개치.방법 장48례척주퇴변환자수궤분성치료조、대조조각24례,균행상규추궁근정고정술,치료조재식입라정전우추궁근정도주입취갑기병희산갑지(PMMA)골수니.관찰비교량조동통상황(VAS)평분、척주은정성、신경증상(JOA)평분등.결과 치료조VAS평분:술전(7.21±1.01)분、술후1개월(3.12±1.65)분、술후6개월(3.08±1.10)분、술후12개월(3.09±1.25)분,대조조분별위(7.23±1.98)분、(4.31±2.13)분、(4.22±1.48)분、(4.12±1.34),량조재술후1개월、6개월、12개월VAS평분차이균유통계학의의(t=2.15、2.08、1.97,균P＜0.05).치료조척주은정23례、불은정1례,대조조분별위19례、5례,량조차이유통계학의의(x2 =5.031,P＜0.05).치료조JOA평분:술전(14.12±2.65)분、술후1개월(26.76±4.36)분、술후6개월(26.78±2.10)분、술후12개월(26.96±1.89)분,대조조분별위(14.41±2.13)분、(24.13±5.28)분、(24.32±1.68)분、(24.32±1.99)분,량조술전JOA평분차이무통계학의의(P＞0.05),량조술후1개월、6개월、12개월JOA평분차이균유통계학의의(t=3.54、3.39、3.56,균P＜0.05).결론 골수니강화추궁근정고정재골질소송척주수술중가명현개선동통급신경증상,증강척주은정성,제고림상료효.
Objective To evaluate the clinical effect of vertebra pedical nail strengthened by bone cement.Methods 48 cases with vertebral illness were divided into two groups,each group of 24 cases.One group goes ahead of the restvertebra pedical nail dishpour into viscous polymethyl methacrylate(PMMA),another group fixed by regular vertebra pedical nail.VAS score,spinal stability and JOA score were adopted to evaluate curative effect synthetically.Results After 1 month,6 months,12 months,the VAS scores in the treatment group were(3.12 ± 1.65),(3.08 ±1.10),(3.09 ± 1.25),and the VAS scores in the control group were(4.31 ±2.13),(4.22 ± 1.48),(4.12 ±1.34),the VAS scores had statistically significant differences between the two groups postoperative 1 month,6months,12 months(t =2.15,2.08,1.97,all P＜0.05);after 1 month,6 months,12 months JOA scores in the treatment group were(26.76 ±4.36),(26.78 ±2.10),(26.96 ± 1.89),and JOA scores in the control group were (24.13 ± 5.28),(24.32 ± 1.68),(24.32 ± 1.99),the JOA score differences had statistically significances between the two groups(x2 =5.031,P ＜0.05);the excellent rates of the treatment group was 90.13％,which was higher than 85.01％ of the control group(t =3.54,3.39,3.56,all P ＜ 0.05).Conclusion Patients receiving vertebra pedical nail strengthened by bone cement was better than regular vertebra pedical nail skill.
