弯角椎体成形术治疗胸腰椎骨质疏松性椎体压缩骨折的安全性和有效性评价

doi:10.3969/j.issn.1005-6483.2020.11.018

摘要/Abstract

摘要： 目的：探讨弯角椎体成形术(percutaneous curved vertebroplasty,PCVP)治疗胸腰椎骨质疏松性椎体压缩骨折的临床疗效。方法：2017年1月～2019年1月在我院治疗的胸腰椎骨质疏松性椎体压缩骨折病人80例，根据治疗方法不同分为3组，PCVP组33例，行PCVP手术，单侧组27例，行单侧入路经皮椎体成形术(percutaneous vertebroplasty ，PVP)术；双侧组20例，行双侧入路PVP手术。观察各组手术时间、X线曝光次数、不良反应，术前、术后1周、术后12 个月VAS评分、ODI指数。结果：PCVP组手术时间和X线曝光次数分别为(21.19±3.80)min和(8.89±1.98)次，明显低于双侧组(P<0.05)，与单侧组比较差异无统计学意义(P＞0.05)；单侧组、双侧组和PCVP组术后1周、12个月VAS评分、ODI指数、椎体前缘和后缘高度压缩率比较差异无统计学意义(P＞0.05)；单侧组、双侧组和PCVP组各伤椎未再次发生骨折及塌陷，无骨水泥移位等不良反应。结论：PCVP治疗胸腰椎骨质疏松性椎体压缩骨折有较好的临床疗效。

关键词: 弯角椎体成形术, 胸腰椎, 骨质疏松性椎体压缩骨折, 临床疗效

Abstract: Objective：To investigate the clinical effect of percutaneous curved vertebroplasty(PCVP) in the treatment of thoracolumbar osteoporotic vertebral compression fractures.Methods：80 patients with thoracolumbar osteoporotic vertebral compression fractures in our hospital from January 2017 to January 2019 were selected,33 patients(PCVP group) were underwent PCVP operation,27patients(unilateral group) were underwent unilateral approach and 20 patients(bilateral group) were underwent bilateral approach,the operation time,Xray exposure times,the amount of bone cement injection and adverse reactionsand so on were observed,and VAS score and ODI index before surgery,1 week after surgery and 12 months after surgery were observed.Results：The operation time and Xray exposure times of PCVP group were(21.19±3.80)min and(8.89±1.98)times,which were significantly lower than those of bilateral group(P<0.05),but there was no significant difference between PCVP group and unilateral group(P>0.05);There were no significant difference in VAS score and ODI index,tThe anterior and posterior margins of the vertebral body are highly compressible between unilateral group,bilateral group and PCVP group at 1 weeks,12 months after operation(P>0.05);No fracture or collapse occurred again in unilateral group,bilateral group and PCVP group,and no adverse reactions such as cement displacement occurred.Conclusion：PCVP has a good clinical effect in the treatment of thoracolumbar osteoporotic vertebral compression fracture,which is worth clinical use.

Key words: percutaneous curved vertebroplasty, thoracolumbar spine, osteoporotic vertebral compression fracture, clinical efficacy

邵建树, 刘伟峰, 费燕强等. 弯角椎体成形术治疗胸腰椎骨质疏松性椎体压缩骨折的安全性和有效性评价[J]. 临床外科杂志, 2020, 28(11): 1059-1062.

参考文献

相关文章 15

[1]	路保赛, 尹跃伟, 张艳平等. 复方丹参片联合硫酸镁治疗附睾炎的疗效及对病人血清炎性因子水平的影响[J]. 临床外科杂志, 2020, 28(6): 575-577.
[2]	陈亚东还勇为孙波周大勇. 改良肠梗阻导管置入联合外科手术对急性左半结直肠恶性肠梗阻的临床疗效观察[J]. 临床外科杂志, 2020, 28(3): 276-278.
[3]	刘融刘彬高迪余昊天. 混合现实技术在老年骨质疏松性胸腰椎压缩性骨折治疗中的临床应用[J]. 临床外科杂志, 2020, 28(10): 966-969.
[4]	唐云德, 徐卫国, 于风珍, 尚林强. 椎间孔镜微创技术治疗老年腰椎间盘突出症的临床分析[J]. 临床外科杂志, 2019, 27(5): 439-442.
[5]	黄伟, 罗云蔓, 程中华. 经椎板间隙小开窗与经椎弓根椎体内植骨治疗胸腰椎爆裂性骨折的疗效比较[J]. 临床外科杂志, 2019, 27(4): 320-323.
[6]	李维, 黄永超. 经皮微创内固定联合术后唑来膦酸治疗胸腰椎骨折的疗效及对T细胞亚群的影响[J]. 临床外科杂志, 2019, 27(4): 345-348.
[7]	方红, 赵子伟, 韩雪, 姚永强. 麦默通微创旋切术切除直径1cm良性乳腺肿块的临床疗效及其对病人免疫功能的影响[J]. 临床外科杂志, 2019, 27(3): 205-208.
[8]	余智, 韩森东. PVP充填自固化磷酸钙骨水泥对老年疼痛性骨质疏松性胸腰椎骨折疼痛及生活质量的影响[J]. 临床外科杂志, 2019, 27(3): 243-246.
[9]	钱永尚, 余铃, 杨东风, 肖松, 李建东, 程晓锋. 微创经皮钢板接骨术与传统开放手术用于治疗肱骨近端骨折的临床疗效分析[J]. 临床外科杂志, 2019, 27(10): 904-906.
[10]	李峰庞争取范达文张修春. 伤椎后1/3切除重建治疗胸腰椎爆裂性骨折的疗效及对脊髓神经功能的影响[J]. 临床外科杂志, 2018, 26(9): 705-708.
[11]	陶海鹰喻剑舟卫爱林杨博杨俭. 后路椎板切除手术治疗脊柱椎管内神经鞘瘤的疗效分析[J]. 临床外科杂志, 2018, 26(10): 783-786.
[12]	詹惟李建波夏强等. 单操作孔全胸腔镜手术治疗胸部疾病78例体会 [J]. 临床外科杂志, 2013, 21(5): 385-386.
[13]	李瑞西彭昊廖志辉等. 经伤椎椎弓根植骨结合后路内固定治疗胸腰椎爆裂性骨折短中期疗效分析 [J]. 临床外科杂志, 2013, 21(2): 123-124.
[14]	涂强丁焕文曹露等. 胸腰椎爆裂性骨折前路手术的临床研究 [J]. 临床外科杂志, 2012, 20(11): 793-795.
[15]	陈荣海 . 输尿管镜辅助腹腔镜治疗肝胆管结石的临床疗效观察 [J]. 临床外科杂志, 2012, 20(11): 813-814.

Metrics

Viewed

Full text

Abstract

Cited

Shared

Discussed