CAJ | 학술논문

目的：比较单双侧穿刺行椎体成形术（ PVP）对于老年骨质疏松性椎体压缩性骨折的近期疗效。方法将30例骨质疏松性胸腰椎骨折患者随机均分为单侧穿刺组与双侧穿刺组；单侧穿刺组行PVP时仅行单侧椎弓根穿刺，双侧组行双侧穿刺。对比两组患者术前和术后72 h视觉模拟（VAS）评分。结果单侧组手术时间，出血量及透视次数明显小于双侧穿刺组（P＜0．05）。两组手术后VAS评分均较术前有明显改善（P＜0．05），两组术前或术后VAS评分比较，差异无统计学意义（P＞0．05）。结论单侧穿刺行PVP能取得良好的临床疗效，且能缩短手术时间及降低手术风险。
목적：비교단쌍측천자행추체성형술（ PVP）대우노년골질소송성추체압축성골절적근기료효。방법장30례골질소송성흉요추골절환자수궤균분위단측천자조여쌍측천자조；단측천자조행PVP시부행단측추궁근천자，쌍측조행쌍측천자。대비량조환자술전화술후72 h시각모의（VAS）평분。결과단측조수술시간，출혈량급투시차수명현소우쌍측천자조（P＜0．05）。량조수술후VAS평분균교술전유명현개선（P＜0．05），량조술전혹술후VAS평분비교，차이무통계학의의（P＞0．05）。결론단측천자행PVP능취득량호적림상료효，차능축단수술시간급강저수술풍험。
Objective To compare the short-term clinical outcome of percutaneous vertebroplasty ( PVP) for the treatment of spinal compression fractures between the unipedicular and bipedicular vertebroplasty .Method Thirty cases from July 2006 to February 2012 were randomly divided into 2 groups with15 cases in each .The operation in one group was dealt with the unipedicular PVP ,while that in the other group with bipedicular PVP .A visual analog scale ( VAS) was used to assess the effect before and 72 hours after vertebroplasty .Result All the 30 operations went well .There was no significant difference between the two groups in the pre-and postoperative scores of VAS ( P>0.05).All the postoperative scores of VAS were higher than the preoperative in both groups (P<0.05).There was significant difference in the index of the operation time ,amount of bleeding and times of fluoroscopy between the two groups .Conclusion The short-term clinical out-come of the unipedicular PVP is satisfactory .It can get great clinical effort ,shorten operation time and reduce operation risk .