摘要
目的 椎体压缩性骨折是临床常见的骨折类型,多发于老年群体,不仅会导致患者受伤椎体疼痛,还诱发椎体远端疼痛,对患者生活质量造成严重影响。本研究分析单侧与双侧入路高黏度骨水泥椎体成形术治疗椎体压缩性骨折临床效果,寻求最佳的椎体压缩性骨折治疗方案。方法 选取2016-02-08-2018-01-07息县第二人民医院收治的102例椎体压缩性骨折患者为研究对象,根据性别、年龄和病程等因素均衡可比的原则分为对照组和观察组,各51例。对照组行双侧入路下高黏度骨水泥椎体成形术,观察组行单侧入路下高黏度骨水泥椎体成形术。对比两组患者手术时间、透视次数、骨水泥注入量、功能障碍情况、Cobb角和骨水泥渗漏情况。结果 观察组手术时间为(39.27±6.93)min,短于对照组的(52.48±7.16)min,t=9.468,P<0.001;透视次数为(14.47±2.15)次,低于对照组的(21.82±2.69)次,t=15.243,P<0.001;骨水泥注入量为(3.58±1.07)mL,低于对照组的(5.39±1.12)mL,t=8.345,P<0.001。Oswestry功能障碍指数(oswestry disability index,ODI)比较,术后1个月,观察组为(36.45±7.63)%,与对照组的(35.93±7.52)%比较,差异无统计学意义,t=0.347,P=0.730;术后12个月,观察组为(27.35±6.32)%,与对照组的(26.84±6.27)%比较,差异无统计学意义,t=0.409,P=0.683。Cobb角比较,术后1个月,观察组为(19.06±3.43)°,与对照组的(19.37±3.52)°比较,差异无统计学意义,t=0.451,P=0.653;术后12个月,观察组为(18.12±3.24)°,与对照组的(17.59±3.13)°比较,差异无统计学意义,t=0.840,P=0.403。观察组骨水泥渗漏率为7.84%,低于对照组的23.53%,差异有统计学意义,χ~2=4.744,P=0.029。结论 单侧与双侧入路下高黏度骨水泥椎体成形术治疗椎体压缩性骨折均可达到理想效果,而单侧入路可有效缩短手术时间,减少透视次数,降低骨水泥渗漏率。
OBJECTIVE Vertebral compression fracture is a common type of fracture in clinic.It occurs mostly in the elderly.It not only causes pain in the injured vertebral body,but also induces pain in the distal vertebral body,which has a serious impact on the quality of life of patients.This study analyzes the clinical effect of unilateral and bilateral highviscosity cement vertebroplasty in the treatment of vertebral compression fractures,to seek the best treatment of vertebral compression fractures.METHODS A total of 102patients with vertebral compression fracture who admitted in Xi County Second People′s Hospital from February 8,2016to January 7,2018were selected as the research subjects.All selected cases were divided into two groups according to the matching pricinple of gender,age and course of disease,with 51cases in each group.Control group underwent bilateral approach of high-viscosity bone cement vertebroplasty,while observation group was treated with unilateral approach of high-viscosity bone cement vertebroplasty.The operation time,number of fluoroscopy,injected volume of bone cement,functional disorder,Cobb angle and bone cement leakage were compared between the two groups.RESULTS The operation time of the observation group was(39.27±6.93)minutes,shorter than that of the control group(52.48±7.16)minutes,t=9.468,P<0.001.The fluoroscopy times and the amount of bone cement injection in the observation group were(14.47±2.15)times and(3.58±1.07)ml,respectively,lower than those in the control group(21.82±2.69)times and(5.39±1.12)ml,with t values of 15.243and 8.345,respectively,both P<0.001.One month after operation,the Oswestry disability index(ODI)and Cobb angle in the observation group were(36.45±7.63)%and(19.06±3.43)degrees,respectively.There was no significant difference between the two groups(35.93±7.52)%and(19.37±3.52)degrees.The t values were 0.347and 0.451,the Pvalues were 0.730and 0.653,respectively.At 12months after operation,the ODI and Cobb angles of the observation group were(27.35±6.32)%a
作者
赵国玺
陈阳
ZHAO Guo-xi;CHEN Yang(Department of Orthopedics,Xi County Second People′s Hospital,Xi County464300,P.R.China)
出处
《社区医学杂志》
2019年第17期1088-1091,共4页
Journal Of Community Medicine
关键词
椎体压缩性骨折
单侧入路
双侧入路
高黏度骨水泥椎体成形术
vertebral compression fracture
unilateral approach
bilateral approach
high-viscosity bone cement vertebroplasty
