CAJ | 학술논문

目的：评估局麻下单侧或双侧经皮椎体成形术（ PVP）治疗老年骨质疏松性椎体压缩骨折（ OVCF）的近期、长期疗效。方法回顾性分析自2010年2月至2012年2月确诊为OVCF患者共117例（126个椎体）资料。117例均采用局麻下PVP治疗，分为单侧PVP组及双侧PVP组。最短随访时间2年，评估两组手术时间、射线暴露时间、视觉模拟评分（ VAS）、Oswestry功能障碍指数（ ODI）评分、术后近期及短期并发症。结果两组患者术前一般临床资料差异无统计学意义（ P >0.05）；单侧PVP组与双侧PVP组在术前与术后，术后与末次随访VAS、ODI比较无统计学差异（ P>0.05）；两组术后疗效较术前有明显差异（ P <0.05），总体渗漏率及其他椎体再骨折发生率比较无统计学差异（ P >0.05）。但单侧PVP组的手术时间及术中射线暴露时间比双侧PVP组减少（ P <0.05）。结论单侧与双侧PVP治疗老年OVCF的短期、长期效果肯定，但单侧椎弓根入路的手术具有时间短、射线暴露时间短的优点。
목적：평고국마하단측혹쌍측경피추체성형술（ PVP）치료노년골질소송성추체압축골절（ OVCF）적근기、장기료효。방법회고성분석자2010년2월지2012년2월학진위OVCF환자공117례（126개추체）자료。117례균채용국마하PVP치료，분위단측PVP조급쌍측PVP조。최단수방시간2년，평고량조수술시간、사선폭로시간、시각모의평분（ VAS）、Oswestry공능장애지수（ ODI）평분、술후근기급단기병발증。결과량조환자술전일반림상자료차이무통계학의의（ P >0.05）；단측PVP조여쌍측PVP조재술전여술후，술후여말차수방VAS、ODI비교무통계학차이（ P>0.05）；량조술후료효교술전유명현차이（ P <0.05），총체삼루솔급기타추체재골절발생솔비교무통계학차이（ P >0.05）。단단측PVP조적수술시간급술중사선폭로시간비쌍측PVP조감소（ P <0.05）。결론단측여쌍측PVP치료노년OVCF적단기、장기효과긍정，단단측추궁근입로적수술구유시간단、사선폭로시간단적우점。
Objective Toevaluateshortandlongtermeffectofunilateralorbilateralpercutaneousvertebroplasty(PVP)underlocalan-esthesiainthetreatmentofosteoporoticvertebralcompressionfracture(OVCF)forolderadults.Methods Wereportaretrospectivestudyof117 (126 vertebral)patients,who were diagnosed with OVCF by our department from Feb 2010 to Feb 2012. Patients were assigned to two groups and received unilateral or bilateral PVP treatment under local anesthesia. The follower-up was performed at least for 2 years and designed to evaluate operativetime,X-rayexposuretime,VASscore,ODIscore,shortandlongtermcomplicationsafterthesurgery.Results Thereisnostatisti-cally significant difference in clinical materials between two groups before the surgery( P >0. 05). There is no statistically significant difference in VAS and ODI scores between unilateral and bilateral group before,after the surgery and at the final follow-up( P >0. 05). There is a signifi-cant difference in effectiveness between before and after surgery for both groups( P <0. 01),with no significant changes for total leakage rate and vertebral refracture rate( P >0. 05). However,the surgery time and x-ray exposure time is shorter in unilateral PVP compared to bilateral PVP (P<0.01).Conclusion TheshortandlongtermeffectisconsideredsatisfactoryforbothunilateralandbilateralPVP.Inaddition,theunilat-eral PVP has advantages such as shorter operative time and X-ray exposure time. No short and long term complications were observed for both ap-proaches.