中华创伤杂志
中華創傷雜誌
중화창상잡지
Chinese Journal of Trauma
2015年
10期
903-906
,共4页
徐瑞生%卢海丹%钱宏%袁凤来
徐瑞生%盧海丹%錢宏%袁鳳來
서서생%로해단%전굉%원봉래
脊柱骨折%骨质疏松%聚甲基丙烯酸类%经皮椎体后凸成形术
脊柱骨摺%骨質疏鬆%聚甲基丙烯痠類%經皮椎體後凸成形術
척주골절%골질소송%취갑기병희산류%경피추체후철성형술
Spinal fractures%Osteoporosis%Polymethacrylic acids%Percutaneous kyphoplasty
目的 探讨椎体后凸成形术(PKP)中高温去神经机制对缓解椎体骨质疏松性骨折后腰背部疼痛的作用. 方法 按照注入聚甲基丙烯酸甲酯(PMMA)在聚合过程中是否给予降温措施,将56例因单椎体骨折行PKP治疗的患者按随机数字表法分为降温组和高温组,每组28例.比较两组患者手术时间、填充物的注入量、手术前后视觉模拟评分(VAS)及Oswestry功能障碍指数(ODI)、术前术后椎体前缘高度变化. 结果 降温组和高温组的手术时间、PMMA注入量、术后VAS、术后ODI评分和椎体前缘高度恢复率分别为(45.6 ±7.3) min: (43.6±5.8)min、(2.8±0.3) ml: (2.7 ±0.4)ml、(3.8±0.7)分:(3.2±0.7)分、(36.6±8.2)分:(30.4±6.0)分、(85.3±6.1)％:(83.9±7.3)％(P均＞0.05). 结论 高温去神经机制对PKP手术缓解腰背部疼痛的贡献并不大,疼痛缓解更多是由于椎体的强化和固定.
目的 探討椎體後凸成形術(PKP)中高溫去神經機製對緩解椎體骨質疏鬆性骨摺後腰揹部疼痛的作用. 方法 按照註入聚甲基丙烯痠甲酯(PMMA)在聚閤過程中是否給予降溫措施,將56例因單椎體骨摺行PKP治療的患者按隨機數字錶法分為降溫組和高溫組,每組28例.比較兩組患者手術時間、填充物的註入量、手術前後視覺模擬評分(VAS)及Oswestry功能障礙指數(ODI)、術前術後椎體前緣高度變化. 結果 降溫組和高溫組的手術時間、PMMA註入量、術後VAS、術後ODI評分和椎體前緣高度恢複率分彆為(45.6 ±7.3) min: (43.6±5.8)min、(2.8±0.3) ml: (2.7 ±0.4)ml、(3.8±0.7)分:(3.2±0.7)分、(36.6±8.2)分:(30.4±6.0)分、(85.3±6.1)％:(83.9±7.3)％(P均＞0.05). 結論 高溫去神經機製對PKP手術緩解腰揹部疼痛的貢獻併不大,疼痛緩解更多是由于椎體的彊化和固定.
목적 탐토추체후철성형술(PKP)중고온거신경궤제대완해추체골질소송성골절후요배부동통적작용. 방법 안조주입취갑기병희산갑지(PMMA)재취합과정중시부급여강온조시,장56례인단추체골절행PKP치료적환자안수궤수자표법분위강온조화고온조,매조28례.비교량조환자수술시간、전충물적주입량、수술전후시각모의평분(VAS)급Oswestry공능장애지수(ODI)、술전술후추체전연고도변화. 결과 강온조화고온조적수술시간、PMMA주입량、술후VAS、술후ODI평분화추체전연고도회복솔분별위(45.6 ±7.3) min: (43.6±5.8)min、(2.8±0.3) ml: (2.7 ±0.4)ml、(3.8±0.7)분:(3.2±0.7)분、(36.6±8.2)분:(30.4±6.0)분、(85.3±6.1)％:(83.9±7.3)％(P균＞0.05). 결론 고온거신경궤제대PKP수술완해요배부동통적공헌병불대,동통완해경다시유우추체적강화화고정.
Objective To determine the effect of high temperature denervation in back pain relief during percutaneous kyphoplasty (PKP) for vertebral osteoporotic fracture.Methods Fifty-six patients undergone PKP for single vertebral osteoporotic fracture were randomly divided into cooling group and normal group with 28 patients per group according to whether the temperature reducing measures were provided during the polymerization process of polymethyl methacrylate (PMMA).Data recorded were operation time, amount of PMMA injected into each vertebral body, visual analogue scale (VAS), Oswestry disability index (ODI), and anterior vertebral height.Results All the data revealed no significant differences between cooling and normal groups: operation time [(45.6 ± 7.3)min vs (43.6 ± 5.8)min], PMMA injected into each vertebral body [(2.8 ±0.3)ml vs (2.7 ±0.4)ml], VAS [(3.8 ± 0.7) points vs (3.2 ± 0.7) points], ODI [(36.6 ± 8.2) points vs (30.4 ± 6.0) points] and height restoration of anterior vertebral body [(85.3 ± 6.1)％ vs (83.9 ± 7.3)％] (P ＞ 0.05).Conclusion High temperature denervation contributes a little to the relief of back pain during PKP, as may be due to the vertebral augmentation and stabilization.
