摘要
目的:观察编织囊袋扩张椎体成形术治疗周壁破损的骨质疏松性椎体压缩骨折(OVCF)的临床疗效。方法:对30例周壁破损的OVCF病人应用编织囊袋扩张椎体成形术进行手术治疗,观察比较术前术后的疼痛VAS评分、Cobb角及椎体前缘及中段高度恢复情况、椎体后凸矫正率、骨水泥渗漏情况。结果:术后病人疼痛明显缓解,Cobb角、病椎高度恢复及椎体后凸矫正明显,术前、术后差异具有统计学意义(P<0.05),骨水泥仅有2个椎体向上终板轻微渗漏,未引起任何反应。结论:编织囊袋扩张椎体成形术治疗周壁破损的OVCF可明显缓解疼痛、降低骨水泥渗漏发生率、矫正Cobb角、恢复一定的椎体高度。
Objective To observe the clinical efficacy of braided bag dilated vertebroplasty in the treatment of osteoporotic vertebral compression fracture(OVCF)with peripheral wall breakage.Methods Thirty patients with OVCF with periphery wall breakage were treated surgically by braided bag dilation vertebroplasty,and the preoperative and postoperative pain VAS scores,Cobb angle and anterior and mid-vertebral body height recovery,kyphosis correction rate,and bone cement leakage were observed and compared.Results The pain of postoperative patients was significantly alleviated,the Cobb angle and the height of the diseased vertebrae were recovered and the kyphosis correction was obvious,the preoperative and postoperative differences were statistically significant(P<0.05),and only 2 vertebral bodies of the bone cement leaked slightly on the upper endplate,which did not cause any response.Conclusions The braided bag dilated vertebroplasty in the treatment of OVCF with peripheral wall breakage can significantly relieve pain,reduce the incidence of bone cement leakage,correct Cobb angle,restore a certain vertebral height.
作者
夏迪
谷金玉
侯鹏飞
XIA Di;GU Jin-yu;HOU Peng-fei(DepartmentⅡof Spine,Wangjing Hospital,Chinese Academy of Chinese Medical Sciences,Beijing 100102;Trauma Orthopedics,Xiyuan Hospital of Chinese Acacemy of Chinese Medical Science,Beijing 100080;Department of Spine,Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Ji'nan Shandong 250011,China)
出处
《蚌埠医学院学报》
CAS
2023年第12期1676-1680,共5页
Journal of Bengbu Medical College
基金
中国中医科学院科技创新工程(CI2021A02003)
中国中医科学院“优势病种-医院制剂-新药”研发专项(ZZ15-XY-PT-12)
首都卫生发展科研专项项目(2018-2-4-162)。
关键词
椎体压缩骨折
周壁破损
骨质疏松
椎体成形术
编织囊袋
vertebral compression fracture
periphery wall breakage
osteoporosis
vertebroplasty
woven capsule bag
