中国医药指南
中國醫藥指南
중국의약지남
Guide of China Medicine
2015年
29期
11-12
,共2页
骨质疏松%爆裂骨折%经皮椎体成形术%经皮椎体后凸成形术
骨質疏鬆%爆裂骨摺%經皮椎體成形術%經皮椎體後凸成形術
골질소송%폭렬골절%경피추체성형술%경피추체후철성형술
Osteoporosis%Burst fracture%Percutaneous vertebral angioplasty%Percutaneous vertebral body
目的 探讨经皮椎体成形术(PVP)治疗不伴神经症状的骨质疏松性椎体爆裂骨折的临床疗效和安全性.方法 回顾性分析2011年2月至2014年12月我院收治的100例单节段骨质疏松性椎体爆裂骨折患者的临床资料;按照治疗方法分为PVP组(经皮椎体成形术)和PKP组(经皮椎体后凸成形术).对比两组手术时间、骨水泥注入量、住院时间、住院花费及骨水泥渗漏等并发症;对比两组术前、术后及随访结束时的疼痛视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI)、椎体高度(前缘、中央)、后凸Cobb角、椎管占位程度及生活质量SF-36评分.结果 两组术后及末次随访时的VAS、ODI、椎体高度、后凸Cobb角、椎管占位程度及SF-36评分均较术前明显改善,PKP在椎体高度、后凸Cobb角、椎管占位程度改善方面明显优于PKP组,差异具有统计学意义(P<0.05).结论 采用PVP和PKP治疗椎管占位<20%且无神经症状的不伴神经症状的骨质疏松性椎体爆裂骨折安全可行,二者各有优势,可根据具体情况选择.
目的 探討經皮椎體成形術(PVP)治療不伴神經癥狀的骨質疏鬆性椎體爆裂骨摺的臨床療效和安全性.方法 迴顧性分析2011年2月至2014年12月我院收治的100例單節段骨質疏鬆性椎體爆裂骨摺患者的臨床資料;按照治療方法分為PVP組(經皮椎體成形術)和PKP組(經皮椎體後凸成形術).對比兩組手術時間、骨水泥註入量、住院時間、住院花費及骨水泥滲漏等併髮癥;對比兩組術前、術後及隨訪結束時的疼痛視覺模擬評分(VAS)、Oswestry功能障礙指數(ODI)、椎體高度(前緣、中央)、後凸Cobb角、椎管佔位程度及生活質量SF-36評分.結果 兩組術後及末次隨訪時的VAS、ODI、椎體高度、後凸Cobb角、椎管佔位程度及SF-36評分均較術前明顯改善,PKP在椎體高度、後凸Cobb角、椎管佔位程度改善方麵明顯優于PKP組,差異具有統計學意義(P<0.05).結論 採用PVP和PKP治療椎管佔位<20%且無神經癥狀的不伴神經癥狀的骨質疏鬆性椎體爆裂骨摺安全可行,二者各有優勢,可根據具體情況選擇.
목적 탐토경피추체성형술(PVP)치료불반신경증상적골질소송성추체폭렬골절적림상료효화안전성.방법 회고성분석2011년2월지2014년12월아원수치적100례단절단골질소송성추체폭렬골절환자적림상자료;안조치료방법분위PVP조(경피추체성형술)화PKP조(경피추체후철성형술).대비량조수술시간、골수니주입량、주원시간、주원화비급골수니삼루등병발증;대비량조술전、술후급수방결속시적동통시각모의평분(VAS)、Oswestry공능장애지수(ODI)、추체고도(전연、중앙)、후철Cobb각、추관점위정도급생활질량SF-36평분.결과 량조술후급말차수방시적VAS、ODI、추체고도、후철Cobb각、추관점위정도급SF-36평분균교술전명현개선,PKP재추체고도、후철Cobb각、추관점위정도개선방면명현우우PKP조,차이구유통계학의의(P<0.05).결론 채용PVP화PKP치료추관점위<20%차무신경증상적불반신경증상적골질소송성추체폭렬골절안전가행,이자각유우세,가근거구체정황선택.
Objective To investigate the clinical efficacy and safety of percutaneous vertebral angioplasty (PVP) in the treatment of osteoporotic vertebral burst fractures without neurological symptoms.Method Retrospective analysis from February 2011 to December 2014 in our hospital from 100 cases of single segment osteoporotic vertebral burst fractures in patients with clinical data, according to the method of treatment points for PVP (percutaneous balloon angioplasty) and PKP group (by percutaneous vertebroplasty and kyphoplasty). Comparison of two groups of operation time, amount of bone cement injection, duration of hospitalization, hospitalization cost and bone cement leakage complications such as;compared two groups of patients before surgery and followed up at the end of pain on a visual analogue scale (VAS), Oswestry disability index (ODI), vertebral height (anterior, central), after Cobb angle, vertebral canal accounted for level and quality of life of SF-36 scores.Result After two groups of surgery and at the final follow-up VAS, ODI, height of vertebral body, after Cobb angle, vertebral canal accounted for degree and SF-36 scores were compared with the preoperative significantly improved PKP in vertebral height, after Cobb angle, vertebral canal for the degree of improvement is better than PKP group, the difference has statistical significance (P<0.05).Conclusion Using PVP and PKP in the treatment of spinal canal occupying less than 20% and no neurological symptoms without neurological symptoms of osteoporotic vertebral burst fractures is safe and feasible, they both have advantage, can choose according to the specific circumstances.
