CAJ | 학술논문

目的：探讨经双侧与单侧椎弓根入路椎体后凸成形术治疗老年人胸腰椎骨质疏松性压缩骨折的临床疗效与价值。方法通过81例患者，经双侧椎弓根入路33例，经单侧椎弓根入路48例，对两组进行疗效评定。结果术前各阳性均有明显改善，具有统计学意义。双侧椎弓根入路组水泥椎体内的填充率较单侧椎弓根入路组高，且有统计学意义。2组渗漏率差异无显著性。结论经单侧与双侧椎弓根入路椎体后凸成形术能恢复椎体的高度、缓解疼痛、矫正后凸畸形、改善患者生活质量，经双侧椎弓根入路在骨水泥弥散分布方面优于经单侧椎弓根。
목적：탐토경쌍측여단측추궁근입로추체후철성형술치료노년인흉요추골질소송성압축골절적림상료효여개치。방법통과81례환자，경쌍측추궁근입로33례，경단측추궁근입로48례，대량조진행료효평정。결과술전각양성균유명현개선，구유통계학의의。쌍측추궁근입로조수니추체내적전충솔교단측추궁근입로조고，차유통계학의의。2조삼루솔차이무현저성。결론경단측여쌍측추궁근입로추체후철성형술능회복추체적고도、완해동통、교정후철기형、개선환자생활질량，경쌍측추궁근입로재골수니미산분포방면우우경단측추궁근。
Objective To investigate the clinical efficacy and clinical value of bipedicular and unipedicular approach to vertebroplasty ( kyphoplasty ) in the treatment of osteoporotic vertebral compressive fracture .Methods A study was carried out on 81 patients , 33 cases were treated by PVP via a bipedicular approach ( bipedicular group ) and 48 cases were treated by unipedicular approach ( unipedicular group).The clinical efficacy of two groups was evaluated .Results All preoperative positive symptoms were relieved greatly and the result had statistical significance .Amount of bone cement injected of observation group was higher than control group , and the difference had sta-tistical significance.The leakage rate of bone cement between two groups had no statistical difference .Conclusion Both unipedicular and bipedicular approach to vertebroplasty (kyphoplasty) get functional recovery, pain relief, deformity correction and quality of life improve-ment.Bone cement diffusion of bipedicular approach to vertebroplasty is superior than unipedicular approach to vertebroplasty .