[1]刘永辉※ 赵烨※ 王向阳 程卫东 朱文潇 崔宏勋△.平乐正骨手法结合弯角椎体成形术治疗骨质疏松性椎体压缩骨折的回顾性研究[J].中国中医骨伤科杂志,2021,29(01):24-28.
　LIU Yonghui ZHAO Ye WANG XiangyangCHENG Weidong ZHU Wenxiao CUI Hongxun.Retrospective Study of Pingle Orthopedic ManipulationCombined with PCVP in Treating OVCFs[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2021,29(01):24-28.
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平乐正骨手法结合弯角椎体成形术治疗骨质疏松性椎体压缩骨折的回顾性研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第29卷
期数:
2021年01期
页码:
24-28
栏目:
临床研究
出版日期:
2021-01-15

文章信息/Info

Title:
Retrospective Study of Pingle Orthopedic ManipulationCombined with PCVP in Treating OVCFs
文章编号:
1005-0205(2021)01-0024-05
作者:
刘永辉1※ 赵烨1※ 王向阳1 程卫东2 朱文潇2 崔宏勋2△
Author(s):
LIU Yonghui1※ ZHAO Ye1※ WANG Xiangyang1CHENG Weidong2 ZHU Wenxiao2 CUI Hongxun2△
1Henan University of Chinese Medicine,Zhengzhou 450046,China; 2Luoyang Orthopedic-Traumatological Hospital of Henan Province,Zhengzhou 450046,China.
关键词:
平乐正骨手法;  弯角椎体成形术;  骨质疏松;  椎体压缩骨折
Keywords:
pingle orthopedic manipulation;  percutaneous curved vertebroplasty;  osteoporosis;  vertebral compression fracture
分类号:
R683.2
文献标志码:
A
摘要:
目的:通过比较平乐正骨手法联合弯角椎体成形术(PCVP)、单纯PCVP以及单侧椎体成形术(PVP)治疗骨质疏松性椎体压缩骨折(OVCFs)的临床疗效,探讨平乐正骨手法联合PCVP的优点。方法:将2018年1月至2019年6月采用椎体成形术治疗的64例OVCFs患者纳入本次回顾性队列研究,按手术方式分为手法联合PCVP组(21例)、单纯PCVP组(20例)及单侧PVP组(23例),采集各组患者的骨水泥注入量及其分布情况、骨水泥渗漏率以及术前与术后1 d的VAS评分和椎体前缘高度等数据资料并进行统计学比较。结果:手法联合PCVP组手术时间(47.90±5.19)min,长于单纯PCVP(37.50±4.04)min及单侧PVP组(38.95±3.36)min,差异有统计学意义(F=36.885,P<0.01),其余两组之间未见明显差异(P>0.05)。骨水泥注入量及骨水泥理想分布比例比较,手法联合PCVP组((4.55±0.75)mL(19/21))与单纯PCVP组((4.36±0.75)mL(17/20))两组均高或优于单侧PVP组((3.60±0.29)mL(11/23)),差异有统计学意义((F=14.322,P<0.01),(F=11.291 P<0.01))。椎体前缘高度组内比较,各组术后((24.19±1.99)mm,(20.20±3.03)mm,(20.78±4.02)mm)较术前((18.09±2.52)mm,(19.10±3.12)mm,(19.04±4.22)mm)均有改善((t=10.719,P<0.01),(t=6.866, P<0.01),(t=8.654, P<0.01))。组间对比:术后手法联合PCVP组高于其余两组且差异有统计学意义(F=8.525, P<0.01)。VAS评分组内比较,术后1 d各组评分((2.76±1.17),(2.55±1.05),(2.56±1.07))较术前((7.61±1.16),(7.45±1.14),(7.43±1.12))明显降低,差异有统计学意义((t=13.007,P<0.01),(t=13.535, P<0.01),(t=14.823, P<0.01)),术后1 d各组组间比较差异无统计学意义(F=0.241, P>0.05)。结论:平乐正骨手法联合PCVP治疗OVCFs在优化骨水泥分布和促进椎体前缘高度恢复方面具有优势,具有较高的临床推广应用价值。
Abstract:
To compare the clinical effects of Pingle orthopedic manipulation combined with percutaneous cornering vertebroplasty(PCVP),PCVP and unilateral percutaneous vertebroplasty(PVP)for the treatment of osteoporotic vertebral compression fracture(OVCFs),and to explore the advantages of Pingle orthopedic manipulation combined with PCVP.Methods:64 patients with OVCFs treated with vertebroplasty from January 2018 to June 2019 were included in this retrospective cohort study.All patients were divided into manual combined PCVP group(21 cases),PCVP group(20 cases)and unilateral PVP group(23 cases).The amount and distribution of bone cement injection,bone cement leakage rate,VAS score and the height of anterior vertebral body were documented and compared.Results:The operation time of the combined PCVP group(47.90±5.19)min was longer than that of the simple PCVP(37.50±4.04)min and the unilateral PVP group(38.95±3.36)min.The difference was statistically significant(F=36.885,P<0.01).No obvious difference was found between single PCVP and unilateral PVP group(P>0.05).Bone cement injection volume and ideal distribution ratio of bone cement showed that manipulation combined with PCVP group((4.55±0.75)mL(19/21))and simple PCVP group((4.36±0.75)mL(17/20))were higher than the unilateral PVP group((3.60±0.29)mL(11/23)),and the difference was statistically significant((F=14.322,P<0.01),(F=11.291,P<0.01)).Comparison of the anterior edge height of the vertebral body,the postoperative((24.19±1.99)mm,(20.20±3.03)mm,(20.78±4.02)mm)compared with the preoperative((18.09±2.52)mm,(19.10±3.12)mm,(19.04±4.22 )mm)were improved((t=10.719,P<0.01),(t=6.866,P<0.01),(t=8.654,P<0.01)).Postoperative manipulation combined with PCVP group is higher than the other two groups and they showed statistical significance difference(F=8.525,P<0.01); VAS in each group significantly dropped from((7.61±1.16),(7.45±1.14),(7.43±1.12))to((2.76±1.17),(2.55±1.05),(2.56±1.07))((t=13.007,P<0.01)(t=13.535,P<0.01),(t=14.823,P<0.01)).There was no statistically significant difference among three groups(F=0.241,P>0.05).Conclusion:Pingle orthopedic manipulation combined with PCVP in treating OVCFs has advantages in optimizing the distribution of bone cement and promoting the recovery of the height of the anterior edge of the vertebral body.

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备注/Memo

备注/Memo:
基金项目:全国中医药创新骨干人才项目(〔2019〕128)河南省首批中医药拔尖人才项目(〔2018〕25)河南省中医药科学研究专项课题(2017ZY2030)
1河南中医药大学(郑州,450046)
2河南省洛阳正骨医院(河南省骨科医院)※ 同等贡献,并列第一作者
△通信作者 E-mail:chx6542@126.com
更新日期/Last Update: 2021-01-15