中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2013年
39期
6920-6925
,共6页
刘涛%周章武%周正新%徐盛文
劉濤%週章武%週正新%徐盛文
류도%주장무%주정신%서성문
骨关节植入物%脊柱植入物%经皮椎体成形%经皮椎体后凸成形%椎体压缩骨折%骨质疏松症%骨水泥
骨關節植入物%脊柱植入物%經皮椎體成形%經皮椎體後凸成形%椎體壓縮骨摺%骨質疏鬆癥%骨水泥
골관절식입물%척주식입물%경피추체성형%경피추체후철성형%추체압축골절%골질소송증%골수니
背景：经皮椎体成形和椎体后凸成形作为两种微创治疗技术在骨质疏松性椎体压缩骨折方面的应用多年，但争议颇多，且各有利弊。<br> 目的：比较经皮椎体成形与经皮椎体后凸成形在治疗骨质疏松性椎体压缩性骨折方面的疗效。<br> 方法：纳入100例患者，其中40例患者选择经皮椎体后凸成形手术，60例患者选择经皮椎体成形手术。治疗前按疼痛目测类比评分评定患者的疼痛程度；术后疼痛目测类比评分为术后1周。并摄X射线片测量测量椎体前缘与后缘比。<br> 结果与结论：两组患者治疗后疼痛目测类比评分都有明显下降，与术前比较差异有显著性意义(P<0.05)；两组患者治疗后椎体高度恢复较治疗前差异有显著性意义，但矫形效果比较，差异无显著性意义(P<0.05)。治疗后并发症骨水泥渗漏的发生率经皮椎体成形组为35%，经皮椎体后凸成形组为12.5%，两组比较并发症发生率差异有显著性意义(P<0.05)。经皮椎体成形与经皮椎体后凸成形均可显著缓解骨质疏松性椎体压缩性骨折患者的疼痛；经皮椎体成形组通过术前术中使脊椎过伸可部分恢复椎体高度，经皮椎体成形与经皮椎体后凸成形两组矫形效果差异无显著性意义。
揹景：經皮椎體成形和椎體後凸成形作為兩種微創治療技術在骨質疏鬆性椎體壓縮骨摺方麵的應用多年，但爭議頗多，且各有利弊。<br> 目的：比較經皮椎體成形與經皮椎體後凸成形在治療骨質疏鬆性椎體壓縮性骨摺方麵的療效。<br> 方法：納入100例患者，其中40例患者選擇經皮椎體後凸成形手術，60例患者選擇經皮椎體成形手術。治療前按疼痛目測類比評分評定患者的疼痛程度；術後疼痛目測類比評分為術後1週。併攝X射線片測量測量椎體前緣與後緣比。<br> 結果與結論：兩組患者治療後疼痛目測類比評分都有明顯下降，與術前比較差異有顯著性意義(P<0.05)；兩組患者治療後椎體高度恢複較治療前差異有顯著性意義，但矯形效果比較，差異無顯著性意義(P<0.05)。治療後併髮癥骨水泥滲漏的髮生率經皮椎體成形組為35%，經皮椎體後凸成形組為12.5%，兩組比較併髮癥髮生率差異有顯著性意義(P<0.05)。經皮椎體成形與經皮椎體後凸成形均可顯著緩解骨質疏鬆性椎體壓縮性骨摺患者的疼痛；經皮椎體成形組通過術前術中使脊椎過伸可部分恢複椎體高度，經皮椎體成形與經皮椎體後凸成形兩組矯形效果差異無顯著性意義。
배경：경피추체성형화추체후철성형작위량충미창치료기술재골질소송성추체압축골절방면적응용다년，단쟁의파다，차각유리폐。<br> 목적：비교경피추체성형여경피추체후철성형재치료골질소송성추체압축성골절방면적료효。<br> 방법：납입100례환자，기중40례환자선택경피추체후철성형수술，60례환자선택경피추체성형수술。치료전안동통목측류비평분평정환자적동통정도；술후동통목측류비평분위술후1주。병섭X사선편측량측량추체전연여후연비。<br> 결과여결론：량조환자치료후동통목측류비평분도유명현하강，여술전비교차이유현저성의의(P<0.05)；량조환자치료후추체고도회복교치료전차이유현저성의의，단교형효과비교，차이무현저성의의(P<0.05)。치료후병발증골수니삼루적발생솔경피추체성형조위35%，경피추체후철성형조위12.5%，량조비교병발증발생솔차이유현저성의의(P<0.05)。경피추체성형여경피추체후철성형균가현저완해골질소송성추체압축성골절환자적동통；경피추체성형조통과술전술중사척추과신가부분회복추체고도，경피추체성형여경피추체후철성형량조교형효과차이무현저성의의。
BACKGROUND:Pereutaneous vertebroplasty and percutaneous kyphoplasty as the minimal y invasive treatment techniques have been widely used in the treatment of vertebral osteoporotic compression fracture, but there are controversies, and each method has its advantages and disadvantages. <br> OBJECTIVE:To compare the clinical efficacy between percutaneous vertebroplasty and percutaneous kyphoplasty in the treatment of vertebral osteoporotic compression fracture. <br> METHODS:100 patients with vertebral osteoporotic compression fracture were col ected, among them, 40 patients received percutaneous vertebroplasty, and 60 patients received percutaneous kyphoplasty. The visual analog scale score was used to assess the pain degree of the patients before treatment;the visual analog scale score was also used at 1 week after treatment. The X-ray film was taken to measure the ratio between anterior and rear edges of vertebrae. <br> RESULTS AND CONCLUSION:The visual analog scale scores in the two groups were significantly decreased after treatment, and there was significant difference when compared with that before treatment (P<0.05);there was significant difference in the restore of vertebral height in two groups when compared with that before treatment, but there was no significant difference in the orthopedic effect between two groups (P<0.05). The incidence of complications of bone cement leakage after treatment was 35%in the pereutaneous vertebroplasty group and 12.5%in the percutaneous kyphoplasty group, and there was significant difference in the incidence of complications between two groups (P<0.05). Pereutaneous vertebroplasty and percutaneous kyphoplasty can significantly relieve the pain of the patients with vertebral osteoporotic compression fracture, but there is no significant difference in the orthopedic effect between pereutaneous vertebroplasty and percutaneous kyphoplasty.
