摘要
目的探讨采用经皮椎体成形术(PVP)治疗骨质疏松性压缩骨折(OVCF)中骨水泥注射量与疗效的相关性。方法回顾分析153例应用PVP治疗的OVCF。记录患者性别、年龄、病程、伤椎水平、是否存在多椎体骨折、术前骨皮质是否存在裂隙、骨水泥注射量、术前椎体压缩率、术后椎体高度恢复率、术后VAS评分改善率、术后是否存在骨水泥渗漏等情况。分别对上述变量进行统计学分析。结果骨水泥注射量与临床疗效间没有显著相关,患者的病程、术前伤椎压缩率、是否存在多椎体骨折是术后VAS改善率的影响因素。结论 PVP术中骨水泥注射量并不能直接反映疗效。
Objective To investigate the correlations between cement volume injected and the therapeutic results in percutaneous vertebroplasty （PVP） for osteoporotic vertebral compression fracture in the elderly patients. Methods All of 153 patients who underwent single level PVP for OVCF were retrospectively reviewed. The correlative factors including sex,age, history of trauma,vertebral level treated,presence or obesence of multiple vertebi：al fractures,presence or obesence of an intravertebral cleft,cement volume injected, preoperative degree of vertebral compression,cement leakage, postoperative regain of vertebral compression,postoperative improvement rate of VAS. Bivariate correlation,multiple linear reg：ession,binary logistics regression analysis method were used for the variable analysis. Results There were no significant association between the volume of cement injected and chnical therapeutic results. History of trauma, preoperative degree of vertebral compression, presence or absence of multiple vertebral fractures were the influence factors of postoperative improvement rate of VAS. Conclusion The cement volume injected can not directly reflect the clinical efficacy.
出处
《中国骨与关节损伤杂志》
2013年第1期22-24,共3页
Chinese Journal of Bone and Joint Injury
关键词
骨质疏松
压缩性骨折
经皮椎体成形术
骨水泥注射量
Osteopomsis
Compression fractures
Percutaneous vertebroplasty
Cement volume injected
