中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2013年
3期
38-41
,共4页
骨质疏松症%椎体压缩骨折%过伸复位%经皮球囊扩张椎体成形术%经皮椎体成形术
骨質疏鬆癥%椎體壓縮骨摺%過伸複位%經皮毬囊擴張椎體成形術%經皮椎體成形術
골질소송증%추체압축골절%과신복위%경피구낭확장추체성형술%경피추체성형술
Osteoporosis%Vertebral compression fractures%Hyperextension reset%Percutaneous kyphoplasty%Percutaneous vertebroplasty
目的 观察过伸复位结合经皮球囊扩张椎体后凸成形术(PKP)治疗骨质疏松型椎体压缩骨折(OVCF)的临床疗效.方法 将60例OVCF患者随机分为两组,观察组30例(病椎体38个)采用过伸复位结合PKP治疗；对照组30例(病椎体34个)采用经皮椎体成形术(PVP)治疗,比较两组手术前后的疗效、椎体前缘高度的恢复情况、并发症发生率.结果 术后3d观察组患者的骨水泥渗漏率显著低于对照组(P＜0.05),骨水泥CT平面分布面积及骨水泥平均注射量显著多于对照组(P＜0.05)；术后1、6、12个月,观察组患者椎体高度压缩率、Cobb's角均显著小于对照组(P＜0.05或P＜0.01).结论 在恢复椎体高度、减小后凸畸形和减少骨水泥渗漏方面,过伸复位结合PKP明显优于PVP.
目的 觀察過伸複位結閤經皮毬囊擴張椎體後凸成形術(PKP)治療骨質疏鬆型椎體壓縮骨摺(OVCF)的臨床療效.方法 將60例OVCF患者隨機分為兩組,觀察組30例(病椎體38箇)採用過伸複位結閤PKP治療；對照組30例(病椎體34箇)採用經皮椎體成形術(PVP)治療,比較兩組手術前後的療效、椎體前緣高度的恢複情況、併髮癥髮生率.結果 術後3d觀察組患者的骨水泥滲漏率顯著低于對照組(P＜0.05),骨水泥CT平麵分佈麵積及骨水泥平均註射量顯著多于對照組(P＜0.05)；術後1、6、12箇月,觀察組患者椎體高度壓縮率、Cobb's角均顯著小于對照組(P＜0.05或P＜0.01).結論 在恢複椎體高度、減小後凸畸形和減少骨水泥滲漏方麵,過伸複位結閤PKP明顯優于PVP.
목적 관찰과신복위결합경피구낭확장추체후철성형술(PKP)치료골질소송형추체압축골절(OVCF)적림상료효.방법 장60례OVCF환자수궤분위량조,관찰조30례(병추체38개)채용과신복위결합PKP치료；대조조30례(병추체34개)채용경피추체성형술(PVP)치료,비교량조수술전후적료효、추체전연고도적회복정황、병발증발생솔.결과 술후3d관찰조환자적골수니삼루솔현저저우대조조(P＜0.05),골수니CT평면분포면적급골수니평균주사량현저다우대조조(P＜0.05)；술후1、6、12개월,관찰조환자추체고도압축솔、Cobb's각균현저소우대조조(P＜0.05혹P＜0.01).결론 재회복추체고도、감소후철기형화감소골수니삼루방면,과신복위결합PKP명현우우PVP.
Objective To observe the clinical effect of hyperextension reset combined with percutaneous kyphoplasty(PKP) on osteoporotic vertebral body compression fracture (OVCF).Methods Sixty cases of OVCF were randomly divided into two groups,30 cases(38 pathological vertebraes) in the observation group were treated by hyperextension reset combined with PKP therapy; 30 cases (34 pathological vertebraes) in the control group were treated by percutaneous vertebroplasty(PVP) therapy.The efficacy,the recovery situation of anterior vertebral height,the incidence of complications before and after surgery were observed and compared between the two groups.Results Three days after surgery,the bone cement leakage rate in the observation group were significantly lower than that in the control group (P ＜ 0.05),the bone cement CT horizontal distribution area and the average bone cement injection volume in the observation group were significantly more than those in the control group (P all ＜0.05) ; 1,6,12 months after surgery,the vertebral height compression ratio and the Cobb angle in the observation group were significantly smaller than those in the control group (P ＜ 0.05 or P ＜ 0.01).Conclusions Hyperextension reduction combined with PKP is superior to PVP in the recovery of the vertebral height,the reduction of the kyphotic deformity and the leakage of bone cement.
