摘要
目的探讨脊柱-骨盆矢状位参数与椎体压缩骨折预后的相关性。方法 2013年3月至2018年3月,选择诊治的骨质疏松性椎体压缩骨折(osteoporotic vertebral compression fractures,OVCF)患者258例,所有患者都给予经皮椎体成形术(percutaneous vertebroplasty,PVP)治疗,记录所有患者的预后,测量脊柱-骨盆矢状位参数变化情况并进行相关性分析。结果所有患者都顺利完成手术,无术中术后严重并发症发生;手术时间为(67.20±10.33)min,术中出血量为(20.1±6.92)mL,术后住院时间为(6.20±0.67)d。术后1个月、术后3个月患者的Cobb角与Beck指数与术前1 d对比差异有统计学意义(P<0.05),术后3个月的总有效率为94.2%。术后3个月患者PT、PI、LL值都显著低于术前1 d(P<0.05)。Pearson相关分析显示患者的PT、PI、LL变化值与Cobb角、Beck指数、总有效率都有显著相关性(P<0.05)。结论经皮椎体成形术治疗骨质疏松性椎体压缩骨折具有很好的应用有效性与安全性,手术前后脊柱-骨盆矢状位参数变化与患者预后有显著相关性。
Objective To investigate the correlation between the spine-pelvic sagittal parameters and the prognosis of vertebral compression fractures. Methods From March 2013 to March 2018, 258 patients with osteoporotic vertebral compression fractures(OVCF) were selected and treated in our hospital. All patients were given percutaneous vertebroplasty(PVP) treatment, the prognosis of the two groups were recorded. The changes of the spine-pelvic sagittal parameters were measured and given correlation analysis. Results All patients were underwent successfully operation without major complications during operation. The operation time were(67.20±10.33)min, the intraoperative blood loss were(20.1±6.92)mL, and the postoperative hospital stay were(6.20±0.67)d. There were statistically significant difference in the Cobb angle and the Beck index compared between the 1 month postoperatively and 3 months after surgery(P<0.05). The total effective rate at 3 months after surgery were 94.2%. The PT, PI and LL values of patients at 3 months after operation were significantly lower than those before surgery(P<0.05). Pearson correlation analysis showed that patients’ PT, PI, LL changes were significantly correlated with Cobb angle, Beck index, and total effective rates(P<0.05). Conclusion Percutaneous vertebroplasty in the treatment of osteoporotic vertebral compression fractures has good application and safety. The changes of the spine-pelvic sagittal parameters before and after surgery are significantly correlated with the prognosis of patients.
作者
温剑涛
王瑞杰
李明汗
顾中华
史泽鑫
方鹏飞
WEN Jiantao;WANG Ruijie;LI Minghan;GU Zhonghua;SHI Zexin;FANG Pengfei(Spinal Minimally Invasive Surgery Department, Gansu Provincial Hospital of TCM, Lanzhou 730050;Spinal Bone Department, Baiyin Branch of Gansu Provincial Hospital of Traditional Chinese Medicine, Baiyin 730900, China)
出处
《国外医学（医学地理分册）》
CAS
2019年第1期52-55,共4页
Foreign Medical Sciences：Section of Medgeography
关键词
经皮椎体成形术
骨质疏松性椎体压缩骨折
脊柱-骨盆矢状位参数
预后
percutaneous vertebroplasty
osteoporotic vertebral compression fracture
spine-pelvic sagittal parameters
prognosis
