摘要
目的:探讨经皮椎体后凸成形术(PKP)对老年性骨质疏松性椎体压缩骨折的治疗效果。方法:选取2018年1月至2020年1月内蒙古科技大学包头医学院第一附院收治的老年性骨质疏松性椎体压缩骨折患者86例为研究对象,按照手术方法分为对照组41例、观察组45例。对照组患者采用单侧穿刺PKP治疗,观察组患者采用双侧穿刺PKP治疗,比较两组患者的手术时间、术中出血量、放射暴露时间、骨水泥注入量、疼痛视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI)、伤椎前缘高度比值、后凸Cobb角、并发症。结果:观察组患者的手术时间、术中出血量、放射暴露时间多于对照组(P<0.05),骨水泥注入量高于对照组(P<0.05);术后两组患者的VAS评分、ODI与术前相比均下降(P<0.05),观察组VAS评分、ODI低于对照组(P<0.05);术后两组患者的伤椎前缘高度比值、后凸Cobb角两组间比较,差异无统计学意义(P>0.05);两组患者的血压下降、疼痛加重、相邻节段椎体再骨折、骨水泥渗漏发生比较,差异无统计学意义(P>0.05)。结论:双侧穿刺与单侧穿刺PKP治疗老年性骨质疏松性椎体压缩骨折效果相当,均能够恢复伤椎高度和稳定性,其中双侧穿刺手术时间、放射暴露时间较长,但术后疼痛轻,值得推广。
Objective:To investigate the effect of percutaneous kyphoplasty(PKP)in the treatment of senile osteoporotic vertebral compression fractures.Methods:A total of 86 patients with senile osteoporotic vertebral compression fracture admitted to the First Affiliated Hospital of Inner Mongolia University of Science and Technology from January 2018 to January 2020 were selected as the observation subjects.According to the surgical methods,they were divided into control group(n=41)and observation group(n=45).Control group treated with unilateral puncture PKP holds,the observation group was treated with puncture bilateral PKP holds,compare two groups what length of time of surgery,intraoperative blood loss,radiation exposure,bone cement injection,visual analogue scale(VAS)pain,Oswestry disability index(ODI),ratio of injured vertebral leading edge height,the protruding after Cobb Angle,complications.Results:The operative time,intraoperative blood loss and radiation exposure time in the observation group were higher than those in the control group,and the amount of bone cement injection was higher than that in the control group(P<0.05).The postoperative VAS score and ODI of the two groups decreased,and the VAS score and ODI of the observation group were lower than those of the control group(P<0.05).The ratio of anterior edge height and kyphotic Cobb Angle of injured vertebrae in the two groups were improved after surgery,and there were no significant differences between the two groups(P>0.05).There were no significant differences in the incidence of blood pressure decrease,pain aggravation,adjacent vertebral refracture and bone cement leakage between the two groups(P>0.05).Conclusion:Bilateral puncture PKP has the same effect as unilateral puncture PKP in the treatment of senile osteoporotic vertebral compression fracture,both can restore the height and stability of the injured vertebra.Bilateral puncture has longer operation time and radiation exposure time,but less postoperative pain,which is worthy of promotion.
作者
王丰
董乐乐
冯子田
刘正伟
WANG Feng;DONG Lele;FENG Zitian;LIU Zhengwei(Baotou Medical College,Inner Mongolia University of Science and Technology,Baotou,014060,China;The First Affiliated Hospital of Baotou Medical College,Inner Mongolia University of Science and Technology)
出处
《包头医学院学报》
CAS
2021年第3期15-18,共4页
Journal of Baotou Medical College
关键词
老年性骨质疏松性椎体压缩骨折
PKP
并发症
后凸Cobb角
osteoporotic vertebral compression fractures
percutaneous kyphoplasty
of the protruding after Cobb Angle
complications
