CAJ | 학술논문

目的：探讨经皮椎体后凸成形术治疗胸腰椎压缩骨折骨水泥分布和剂量对疗效的影响。方法选择经PKP术治疗的单椎体骨质疏松性胸腰段椎体压缩骨折患者71例，根据术后骨水泥在椎体中的位置分布，分为侧方组和中位组，对比两组患者的临床治疗效果。记录术中的骨水泥注射量，分为＜4 ml组和≥4 ml组，观察两组的骨水泥渗漏情况。结果侧方组和中位组治疗后的VAS、ODI评分、SI和Cobb角分别为（2．6±0．6）分、（31．6±10．1）％、（76．4±10．6）％、（12．6±5．1）°和（2．8±0．7）分、（32．3±10．9）％、（81．3±11．6）％、（12．9±5．7）°，较治疗前[两组分别为（7．1±2．3）分、（56．5±11．2）％、（45．0±11．1）％、（22．4±7．0）°和（7．5±2．1）分、（57．1±11．8）％、（44．1±10．6）％、（25．7±7．9）°]有显著改善，差异均有统计学意义（P＜0．05）；而两组术后VAS、ODI评分、SI和Cobb角比较，差异均无统计学意义（P＞0．05）。＜4 ml组发生渗漏5例，发生率为15．2％；≥4ml组发生渗漏10例，发生率为26．3％，两组比较差异有统计学意义（P＜0．05）。结论骨水泥的位置分布对PKP手术的疗效影响不大，骨水泥的注入剂量是发生骨水泥渗漏的危险因素。
목적：탐토경피추체후철성형술치료흉요추압축골절골수니분포화제량대료효적영향。방법선택경PKP술치료적단추체골질소송성흉요단추체압축골절환자71례，근거술후골수니재추체중적위치분포，분위측방조화중위조，대비량조환자적림상치료효과。기록술중적골수니주사량，분위＜4 ml조화≥4 ml조，관찰량조적골수니삼루정황。결과측방조화중위조치료후적VAS、ODI평분、SI화Cobb각분별위（2．6±0．6）분、（31．6±10．1）％、（76．4±10．6）％、（12．6±5．1）°화（2．8±0．7）분、（32．3±10．9）％、（81．3±11．6）％、（12．9±5．7）°，교치료전[량조분별위（7．1±2．3）분、（56．5±11．2）％、（45．0±11．1）％、（22．4±7．0）°화（7．5±2．1）분、（57．1±11．8）％、（44．1±10．6）％、（25．7±7．9）°]유현저개선，차이균유통계학의의（P＜0．05）；이량조술후VAS、ODI평분、SI화Cobb각비교，차이균무통계학의의（P＞0．05）。＜4 ml조발생삼루5례，발생솔위15．2％；≥4ml조발생삼루10례，발생솔위26．3％，량조비교차이유통계학의의（P＜0．05）。결론골수니적위치분포대PKP수술적료효영향불대，골수니적주입제량시발생골수니삼루적위험인소。
Objective To study the effect impact of bone cement distribution and dose in percutaneous kyphoplasty in treatment of vertebral compression fractures.Methods Selected 71 cases thoracolumbar vertebral compression fractures were treated by PKP, according to the position after the bone cement into the vertebral body, divided side of the group and median group, clinical outcomes compared two groups of patients.Record bone cement injection amount, divided <4ml group and≥4ml group, bone cement leakage was observed in both groups.Results Both side of the group and median group, VAS, ODI score, SI and Cobb angles which in after treatment are better than before treatment, differences were statistically significant (P<0.05).VAS, ODI score, SI and Cobb angle in two group postoperative, the difference was not statistically significant (P>0.05).5 cases leakage occurred in <4ml group, the rate was 15.2%;10 cases leakage occurred in≥4ml group, the rate was 26.3%, the difference was statistically significant (P<0.05).Conclusions It has little effect on the efficacy in PKP surgery location of the bone cement distribution, injected dose of bone cement is one of risk factors for bone cement leakage.