中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
13期
1986-1988
,共3页
骨折,压缩性%骨质疏松性骨折%椎体成形术%疼痛,手术后
骨摺,壓縮性%骨質疏鬆性骨摺%椎體成形術%疼痛,手術後
골절,압축성%골질소송성골절%추체성형술%동통,수술후
Fractures,compression%Osteoporotic fractures%Vertebroplasty%Pain,postoperative
目的 观察骨质疏松性压缩性骨折(OVCF)远处疼痛的发生情况,分析经皮椎体增强术对责任椎远处疼痛的临床疗效.方法 90例OVCF患者行经皮椎体成形术(PVP)或椎体后凸成形术(PKP),观察患者远处疼痛的发生情况,应用视觉模拟(VAS)评分比较术前、术后不同时点患者远处疼痛的程度及其动态变化情况.结果 90例OVCF患者中有44例发生责任椎远处疼痛,其中PVP组37例,占48.1％,PKP组7例,占53.9％,两组疼痛发生率差异无统计学意义(x2=0.149,P=0.699),疼痛发生部位PVP组分别位于骶尾部20例、剑突下8例、胸廓外侧6例及肋骨前胸2例,PKP组分别为骶尾部5例、剑突下和胸廓外侧各1例;PVP组患者与PKP患者VAS评分术前、术后即时及末次随访时差异均无统计学意义(t=0.22、0.66、1.13,均P＞0.05);两组不同时点VAS评分差异均有统计学意义(FPVP=35.65,PPvP＜ 0.01,FPKP=30.44,PPKP＜ 0.01);两组患者术后72 h时疼痛较术前缓解最为明显(t=33.43,P＜0.01).结论 责任椎远处疼痛是OVCF中较为常见的临床表现,椎体增强术可有效缓解责任椎远处疼痛.
目的 觀察骨質疏鬆性壓縮性骨摺(OVCF)遠處疼痛的髮生情況,分析經皮椎體增彊術對責任椎遠處疼痛的臨床療效.方法 90例OVCF患者行經皮椎體成形術(PVP)或椎體後凸成形術(PKP),觀察患者遠處疼痛的髮生情況,應用視覺模擬(VAS)評分比較術前、術後不同時點患者遠處疼痛的程度及其動態變化情況.結果 90例OVCF患者中有44例髮生責任椎遠處疼痛,其中PVP組37例,佔48.1％,PKP組7例,佔53.9％,兩組疼痛髮生率差異無統計學意義(x2=0.149,P=0.699),疼痛髮生部位PVP組分彆位于骶尾部20例、劍突下8例、胸廓外側6例及肋骨前胸2例,PKP組分彆為骶尾部5例、劍突下和胸廓外側各1例;PVP組患者與PKP患者VAS評分術前、術後即時及末次隨訪時差異均無統計學意義(t=0.22、0.66、1.13,均P＞0.05);兩組不同時點VAS評分差異均有統計學意義(FPVP=35.65,PPvP＜ 0.01,FPKP=30.44,PPKP＜ 0.01);兩組患者術後72 h時疼痛較術前緩解最為明顯(t=33.43,P＜0.01).結論 責任椎遠處疼痛是OVCF中較為常見的臨床錶現,椎體增彊術可有效緩解責任椎遠處疼痛.
목적 관찰골질소송성압축성골절(OVCF)원처동통적발생정황,분석경피추체증강술대책임추원처동통적림상료효.방법 90례OVCF환자행경피추체성형술(PVP)혹추체후철성형술(PKP),관찰환자원처동통적발생정황,응용시각모의(VAS)평분비교술전、술후불동시점환자원처동통적정도급기동태변화정황.결과 90례OVCF환자중유44례발생책임추원처동통,기중PVP조37례,점48.1％,PKP조7례,점53.9％,량조동통발생솔차이무통계학의의(x2=0.149,P=0.699),동통발생부위PVP조분별위우저미부20례、검돌하8례、흉곽외측6례급륵골전흉2례,PKP조분별위저미부5례、검돌하화흉곽외측각1례;PVP조환자여PKP환자VAS평분술전、술후즉시급말차수방시차이균무통계학의의(t=0.22、0.66、1.13,균P＞0.05);량조불동시점VAS평분차이균유통계학의의(FPVP=35.65,PPvP＜ 0.01,FPKP=30.44,PPKP＜ 0.01);량조환자술후72 h시동통교술전완해최위명현(t=33.43,P＜0.01).결론 책임추원처동통시OVCF중교위상견적림상표현,추체증강술가유효완해책임추원처동통.
Objective To assess the effect of percutaneous vertebral augmentation for the relief of pain caused by the osteoporotic vertebral compression fracture(OVCF).Methods 90 patients with OVCF were performed the percutaneous vertebroplasty(PVP) or kyphoplasty(PKP).The prevalence of pain,visual analog scales (VAS) of patients before and different time points after operation were observed.Results In 90 cases,44 cases with OVCF were suffered from nonmidline pain,among which 37 cases (48.05％) in the PVP group and 13 cases (53.85％) in the PKP group,the incidence of pain between the two group was not statistically significant(x2 =0.149,P =0.699).There were 20 cases with pain in sacrococcygeal area,8 cases below the xiphoid,6 cases in lateral thorax and 2 cases in chest in the PVP group,and 5 cases in sacrococcygeal area,1 case respectively below the xiphoid and in chest in the PKP group; the VAS score between the two groups before surgery (t =0.22,P =0.825),postoperative instant (t =0.66,P =0.508) and the last follow-up (t =1.13,P =0.263) were not statistically significant; the VAS scores of both groups had significant differences at different time points (FPVP =35.65,PPVP ＜ 0.01,FPKP =30.44,PPKP ＜ 0.01) ;the pain relief was the most significant 72h after operation(t =33.43,P ＜ 0.001).Conclusion The pain is common clinical manifestations in patients with OVCF,the percutaneous vertebral augmentation can effectively alleviate the nonmidline pain caused by the OVCF.
