[1]卢昌怀,刘志军△,张宏波,等.单侧与双侧PVP治疗骨质疏松性胸腰椎压缩性骨折疗效分析[J].中国中医骨伤科杂志,2015,23(04):23-25.
　LU Changhuai,LIU Zhijun,ZHANG Hongbo,et al.Efficacy of Unilateral and Bilateral PVP for Osteoporotic Vertebral Compression Fractures[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2015,23(04):23-25.
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单侧与双侧PVP治疗骨质疏松性胸腰椎压缩性骨折疗效分析
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第23卷
期数:
2015年04期
页码:
23-25
栏目:
临床研究
出版日期:
2015-04-15

文章信息/Info

Title:
Efficacy of Unilateral and Bilateral PVP for Osteoporotic Vertebral Compression Fractures
文章编号:
1005-0205(2015)04-0023-03
作者:
卢昌怀1； 刘志军1△； 张宏波1； 常峥1； 王瑜1； 周伟平1；
1.湖南省常德市第一中医医院骨伤科(湖南 常德,415000)
△.通讯作者 E-mail:liuzhijun@sohu.com
Author(s):
LU Changhuai1； LIU Zhijun1； ZHANG Hongbo1； CHANG Zheng1； WANG Yu1； ZHOU Weiping
1.Department of Orthopedics and Traumatology, Changde No.1 Hospital of Traditional Chinese Medicine, Changde 415000, China
关键词:
经皮椎体成形术;  骨水泥;  骨质疏松性椎体压缩性骨折
Keywords:
percutaneous vertebroplasty;  bone cement;  osteoporosis compression fractures
分类号:
R683.2
文献标志码:
A
摘要:
目的:比较单侧与双侧经椎弓根椎体成形术(PVP)治疗骨质疏松性椎体压缩性骨折的疗效。方法:前瞻性随机对照研究了本院2006年1月-20011年12月,549例(643节)骨质疏松性椎体压缩性骨折患者,在C臂机引导下,行单侧或双侧经椎弓根向病椎内穿针并注入骨水泥聚甲基丙烯酸甲酯(Polymethylmethacrylate,PMMA)。采用VAS评分、ODI指数及Cobb角进行疗效比较,并观察有无并发症发生。结果:549例643节骨质疏松性椎体压缩性骨折中,297例347节椎体行单侧经椎弓根入路,252例296节行双侧经椎弓根入路。术后1周、1年时,两组VAS评分及ODI指数较术前均有改善(P<0.05),两组之间比较差异无统计学意义(P>0.05); 两组术后Cobb角比较差异无统计学意义(P>0.05)。结论:单侧经椎弓根入路经皮椎体成形术与双侧经椎弓根入路比较,临床结果无明显差别。
Abstract:
To compare the clinical efficacy of unipedicular and bipedicular approach to percutaneous vertebroplasty in treating osteoporotic vertebral compression fractures. Methods:A prospective, comparative, and randomized clinical study was performed on 643 osteoporotic vertebral compressive fractures of 549 patients from January 2006 to December 2011, which were treated by percutaneous vertebroplasty(PVP)via a unipedicular or bipedicular approach to inject polymethylmethacrylate(PMMA)cement monitored by C-arm fluoroscopy. After the procedure, Clinical outcomes were quantified by VAS,ODI and Cobb angle, and the complications were observed. Results: 297 patients with 347 vertebraes were performed PVP through the unipediculate approach,252 patiens with 296 vertebraes through bipedicular approach. VAS and ODI were statistically improved in either unipedicular or bipedicular group one week and one year after operation. No significant differences in the treatment effect between the two groups was observed in VAS,ODI and Cobb angle(P>0.05). Conclusions: Unipediculate approach in percutaneous vertebroplasty allows filling of both vertebral halves from a single puncture site with no statistically significant difference in clinical outcome from that of bipediculate vertebroplasty.

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期:2014-08-09
基金项目:常德科技局计划项目(2012SK07)
更新日期/Last Update: 2015-04-01