摘要
目的研究远程遥控骨水泥推注系统(remote controlled injection manipulator system,RCIM)辅助经皮椎体后凸成形术(percutaneous kyphoplasty,PKP)治疗后壁破裂型骨质疏松性椎体骨折(osteoporotic vertebral fracture,OVF)的临床疗效。方法本研究对象为2015年1月~2017年1月于本院治疗的46例后壁破裂型OVF患者,采用数字随机法分为两组,均行PKP手术治疗。对照组采用常规手推杆推注骨水泥,观察组采用RCIM辅助进行骨水泥灌注。比较两组患者围术期相关指标,以及手术疗效和并发症情况。结果观察组手术时间、术中透视次数显著少于对照组,差异有统计学意义(P<0.05),两组住院时间、骨水泥注入量差异无统计学意义(P>0.05);两组术后术后1个月、2年的VAS评分、Cobb角显著降低,伤椎前缘高度比显著升高,差异有统计学意义(P<0.05),组间比较差异均无统计学意义(P>0.05);观察组并发症发生率显著低于对照组,差异有统计学意义(P<0.05)。结论RCIM辅助PKP手术治疗后壁破裂型OVF,能减少手术时间以及辐射暴露次数,减少骨水泥渗漏,疗效确切。
Objective To study the clinical efficacy of remote controlled injection manipulator system(RCIM)assisted percutaneous kyphoplasty(PKP)in the treatment of osteoporotic vertebral fracture(OVF)with posterior wall rupture.Methods Forty-six OVF patients with posterior wall rupture who were treated in our hospital from January 2015 to January 2017 were selected as the study subjects.The patients were divided into two groups by digital randomization.All patients underwent PKP treatment.In the control group,the bone cement was pushed by conventional hand push rod,and the observation group was treated with RCIM-assisted bone cement perfusion.The perioperative indicators,operative efficacy and complications were compared between the two groups.Results The operation time and intraoperative fluoroscopy times of the observation group were significantly lower than those of the control group,and the differences were statistically significant(P<0.05).There were no significant differences in hospitalization time and bone cement injection volume(P>0.05).The VAS score and Cobb angle of the two groups were significantly decreased at 1 month and 2 years after operation,and the anterior edge injured vertebral height ratio was significantly increased(P<0.05).There was no significant difference between the two groups(P>0.05).The incidence rate of complications in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion RCIM-assisted PKP in the treatment of posterior wall rupture type OVF can reduce the operation time and the number of radiation exposure,reduce bone cement leakage,and the short-term and long-term effects are exact.
作者
张鲁
谢祖全
ZHANG Lu;XIE Zu-quan(Department of Orthopaedics,Yangling Demonstration Area Hospital,Xianyang,Shaanxi 712100,China;Department of Orthopaedics,Ankang Central Hospital,Ankang,Shanxi 725000,China)
出处
《颈腰痛杂志》
2020年第5期565-568,共4页
The Journal of Cervicodynia and Lumbodynia
基金
宁夏回族自治区自然科学基金(编号:NZ16212)。
