摘要
目的探讨应用经皮椎体后凸成形术(PKP)治疗骨质疏松性腰椎压缩骨折患者的临床长期疗效。方法对2018年1月至2020年1月甘肃省中医院脊柱微创骨科应用PKP治疗的单一节段骨质疏松性腰椎压缩骨折患者126例的临床资料进行回顾性分析。其中男23例,女103例,年龄(72.12±9.405)(45~93)岁。其中5例男患者体质量指数(BMI)>25,22例女患者BMI>24。评价患者术前与术后7 d、3个月、12个月的疼痛视觉模拟评分(VAS)以及术前与术后3个月伤椎椎体高度、椎体楔变角和Cobb角并进行比较。采用SPSS 26.0软件对数据进行统计学分析。P<0.05为差异有统计学意义。结果126例患者均获得12个月随访。患者术前与术后7 d、3个月、12个月VAS评分分别为(7.85±0.738)、(2.72±0.450)、(2.40±0.553)和(2.32±0.826)分;术前与术后3个月伤椎椎体前缘、中线、后缘高度分别为(17.83±3.137)、(19.02±3.160)、(17.51±2.013)mm和(18.99±2.451)、(21.14±2.804)、(21.32±2.895)mm;术前与术后3个月伤椎椎体楔变角分别为(15.61±3.295)°和(8.33±1.664)°,Cobb角分别为(18.88±4.563)°和(15.44±4.761)°。术后7 d、3个月、12个月VAS评分与术前差异均有统计学意义(均P<0.05);术后3个月、12个月VAS评分与术后7 d差异均有统计学意义(均P<0.05);术后3个月与术后12个月VAS评分差异无统计学意义(P>0.05);患者术后伤椎椎体前缘高度、中线高度、椎体楔变角、Cobb角与术前差异均有统计学意义(均P<0.05);术后伤椎椎体后缘高度与术前差异无统计学意义(P>0.05)。结论应用PKP治疗骨质疏松性腰椎压缩骨折患者,在疼痛缓解、椎体楔变角的恢复及Cobb角的矫正、伤椎椎体高度恢复等方面可获得较好的远期效果。
Objective To investigate the long-term clinical effect of percutaneous kyphoplasty(PKP)in the treatment of osteoporotic lumbar compression fractures.Methods The clinical data of 126 patients with single segment osteoporotic lumbar compression fracture treated by PKP in the Department of Minimally Invasive Orthopedics of Spine,Gansu Provincial Hospital of Traditional Chinese Medicine from January 2018 to January 2020 were analyzed retrospectively.There were 23 males and 103 females aged(72.12±9.405)(45-93)years.The body mass index(BMI)of 5 male patients was>25 and that of 22 female patients was>24.The visual analogue scale(VAS)of pain before operation and 7 d,3 months and 12 months after operation,and the height of injured vertebral body,vertebral wedge angle and vertebral Cobb's angle befor operation and at 3 months after operation were evaluated and compared.The data were statistically analyzed by SPSS 26.0 software.P<0.05 was considered statistically significant.Results All the patients were followed up for 12 months.The VAS scores of patients before operation and 7 d,3 months and 12 months after operation were(7.85±0.738),(2.72±0.450),(2.40±0.553)and(2.32±0.826)scores,respectively.The heights of the anterior,middle and posterior edges of the injured vertebrae before operation and 3 months after operation were(17.83±3.137),(19.02±3.160),(17.51±2.013)and(18.99±2.451),(21.14±2.804),(21.32±2.895)mm,respectively.The wedge angle of injured vertebrae before operation and 3 months after operation was(15.61±3.295)°and(8.33±1.664)°.The Cobb's angle before operation and 3 months after operation was(18.88±4.563)°and(15.44±4.761)°,respectively.The VAS scores at 7 d,3 months and 12 months after operation were significantly different from that before operation(all P<0.05).The VAS score at 3,12 months after operation were significantly different from that at 7 d after operation(all P<0.05).There was no significant difference between VAS scores at 3 months and 12 months after operation(P>0.05).The postoperat
作者
王想福
桑廷瑞
张超
陈伟国
游翔宇
张万乾
郑刚
杨焕莹
Wang Xiangfu;Sang Tingrui;Zhang Chao;Chen Weiguo;You Xiangyu;Zhang Wanqian;Zheng Gang;Yang Huanying(Department of Minimally Invasive Orthopedics of Spine, Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730050, China;不详)
出处
《骨科临床与研究杂志》
2021年第5期265-268,294,共5页
Journal Of Clinical Orthopedics And Research
基金
甘肃省自然科学基金(20JR10RA357,18JR3RA067)。
关键词
骨质疏松性骨折
腰椎
椎体后凸成形术
最小侵入性外科手术
治疗结果
Osteoporotic fractures
Lumbar vertebrae
Kyphoplasty
Minimally invasive surgical procedures
Treatment outcome
