摘要
目的 分析胸腰椎压缩性骨折(thoracolumbar vertebral compression fractures, TLVCF)患者经皮椎体后凸成形术(percutaneous kyphoplasty, PKP)术后再骨折的多因素。方法 回顾性分析,收集2018年11月-2020年3月于濮阳市第五人民医院进行PKP术治疗术后发生再骨折60例TLVCF患者临床资料,设为发生组;另收集同期在该院行PKP术治疗术后未发生再骨折的60例TLVCF患者临床资料,设为未发生组。查阅资料并收集患者资料内容,经单因素与多因素分析TLVCF患者PKP术后再骨折的影响因素。结果 两组原发骨折椎体数、骨密度(BMD)、术中椎体内骨水泥灌注量比较,差异有统计学意义(t=21.689、3.467、2.865,P均<0.05);组间其他基线资料相比,差异无统计学意义(P>0.05);经单因素分析后,建立多元回归模型行多因素分析显示,结果显示,原发骨折椎体数较多、低BMD、术中椎体内骨水泥灌注量较多均是TLVCF患者PKP术后再骨折的影响因素(OR>1,P<0.05)。结论 原发骨折椎体数较多、低BMD、术中椎体内骨水泥灌注量较多是TLVCF患者PKP术后再骨折的影响因素。
Objective To analyze the multiple factors of refracture after percutaneous kyphoplasty(PKP) in patients with thoracolumbar vertebral compression fractures(TLVCF). Methods A retrospective analysis was conducted, the clinical data of 60 patients with TLVCF who had refracture after PKP in Puyang the Fifth People’s Hospital from November 2018 to March 2020 were collected and set as the occurrence group;In addition, the clinical data of 60 patients with TLVCF who did not have refracture after PKP in this hospital during the same period were collected and set as the non-occurrence group. The data were consulted and information of patients was collected, univariate and multivariate analysis were used to analyze the influencing factors of refracture after PKP in patients with TLVCF. Results The number of vertebral bodies with primary fracture, bone mineral density(BMD) and intraoperative vertebral bone cement perfusion between the two groups were compared, the differences were statistically significant(t=21.689, 3.467, 2.865, all P<0.05);There was no statistical significant difference in other baseline data between the two groups(P>0.05);After univariate analysis, a multiple regression model was established, multivariate analysis was performed, the results showed that more vertebral bodies with primary fracture, lower BMD and more intraoperative vertebral bone cement perfusion were the influencing factors of refracture after PKP in TLVCF patients(OR>1, P<0.05). Conclusion More vertebral bodies with primary fracture, lower BMD and more intraoperative vertebral bone cement perfusion are the influencing factors of refracture after PKP in patients with TLVCF.
作者
肖殿超
万宗科
张金平
XIAO Dian-chao;WAN Zong-ke;ZHANG Jin-ping(Department of Surgery,Puyang the Fifth People's Hospital,Puyang,Henan 457000,China)
出处
《医药论坛杂志》
2023年第3期72-74,共3页
Journal of Medical Forum
关键词
胸腰椎压缩性骨折
经皮椎体后凸成形术
再骨折
术中椎体内骨水泥灌注量
Thoracolumbar vertebral compression fractures
Percutaneous kyphoplasty
Refracture
Intraoperative bone cement perfusion in vertebral body
