[1]张国斌 陈骥.网袋加压椎体成形术治疗胸腰椎压缩性骨折近期疗效观察[J].中国中医骨伤科杂志,2021,29(10):69-72.
　ZHANG Guobin CHEN Ji.Short-Term Efficacy of Mesh Compression Vertebroplasty forThoracolumbar Compression Fractures[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2021,29(10):69-72.
点击复制

网袋加压椎体成形术治疗胸腰椎压缩性骨折近期疗效观察()
分享到：

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第29卷
期数:
2021年10期
页码:
69-72
栏目:
临床报道
出版日期:
2021-10-15

文章信息/Info

Title:
Short-Term Efficacy of Mesh Compression Vertebroplasty forThoracolumbar Compression Fractures
文章编号:
1005-0205(2021)10-0069-04
作者:
张国斌1 陈骥2
1四川乐山市第二人民医院骨科(四川 乐山,614000)2乐山市市中区人民医院骨科
Author(s):
ZHANG Guobin1 CHEN Ji2
1Department of Orthopedics, Leshan Second People’s Hospital, Leshan 614000, Sichuan China; 2Department of Orthopedics, Leshan Shizhong District People’s Hospital, Leshan 614099, Sichuan China.
关键词:
胸腰椎压缩性骨折;  网袋加压椎体成形术;  疗效;  骨水泥
Keywords:
thoracolumbar vertebral compression fracture;  mesh compression vertebroplasty;  curative efficacy;  bone cement
分类号:
R683.1
文献标志码:
B
摘要:
目的:观察网袋加压椎体成形术治疗胸腰椎压缩性骨折(OVCF)近期疗效及骨水泥渗漏率。方法:选取2018年6月至2020年5月本院收治的44例骨质疏松性胸腰椎压缩性骨折患者,所有患者均接受网袋加压椎体成形术治疗。比较患者治疗前、术后第1天、术后第1个月VAS评分、ODI评分、椎体前缘高度比,统计患者术后骨水泥泄漏率及并发症发生情况。结果:与治疗前比较,患者术后第1天及术后1个月VAS评分均降低,差异有统计学意义(P<0.05); 术后1个月VAS评分比术后第1天降低,差异有统计学意义(P<0.05)。与治疗前比较,术后第1天及术后1个月ODI评分均降低,差异有统计学意义(P<0.05); 术后1个月ODI评分比术后第1天降低,差异有统计学意义(P<0.05)。与治疗前比较,术后第1天、术后1个月椎体前缘高度均升高,差异有统计学意义(P<0.01); Cobb角均降低,差异有统计学意义(P<0.01); 与术后第1天比较,术后1个月椎体前缘高度降低(P<0.05); Cobb角差异无统计学意义(P>0.05)。5例(11.36%)发生骨水泥渗漏,所有患者均未出现并发症。结论:网袋加压椎体成形术术后镇痛效果良好,并具有骨水泥泄漏率低、伤椎修复效果好的优势。
Abstract:
Objective:To observe the short-term efficacy of mesh compression vertebroplasty on thoracolumbar vertebral compression fracture(OVCF)and its influence on cement leakage rate. Methods:From June 2018 to May 2020, 44 patients with osteoporotic thoracolumbar vertebral compression fracture were selected. All patients were treated with mesh compression vertebroplasty. VAS score, ODI and anterior height ratio of vertebral body were compared before treatment, one day and one month after operation. Results:Compared with before treatment, the VAS scores of the patients were decreased at 1 d and 1 month after operation(P<0.05). VAS score at 1 month after operation were lower than that at 1 d after operation(P<0.05).Compared with ODI before treatment, the score decreased at 1 d and 1 month postoperatively( P<0.05). The ODI at 1 month was lower than that at 1 d(P<0.05). The height of anterior edge of vertebral body increased at 1 d and 1 month after operation(P<0.01), and the Cobb angle decreased(P<0.01). The height of anterior edge of vertebral body decreased at 1 month after operation, as compared with that 1 d after operation(P<0.05), but the Cobb angle had no significant difference(P>0.05). Cement leakage occurred in 5 patients(11.36%), and no other complication was found in all patients. Conclusion:The mesh compression vertebroplasty has satisfied analgesic control low bone cement leakage rate and repair effect of injured vertebrae.

参考文献/References:

[1] 刘建文,李明,杨敏.经皮椎体成形术改善保守治疗效果不佳的老年OVCF患者疼痛和功能障碍的效果观察[J].实用医院临床杂志,2019,16(2):19-22.
[2] 王福顺,张琳,王志奇,等.不同骨水泥注入方案治疗单节段胸腰段OVCF临床对比研究[J].实用骨科杂志,2019,25(2):97-100.
[3] 张保良,陈允震.骨质疏松性椎体压缩骨折住院患者的人口学特征及临床特征分析[J].中华骨科杂志,2019,39(24):1523-1535.
[4] 谢垒,施涛,邱勇钢,等.经皮后凸成形术治疗骨质疏松性椎体压缩性骨折球囊压力的相关性探讨[J].中国骨质疏松杂志,2020,26(2):175-180.
[5] 胡丽丹,胡敏,周鹃,等.PKP术后近邻椎体骨折的相关因素分析[J].中国骨与关节损伤杂志,2020,35(1):54-56.
[6] LIU J,WANG L,CHAI M,et al.Analysis of anesthesia methods in percutaneous kyphoplasty for treatment of vertebral compression fractures[J].Journal of Healthcare Engineering,2020,94:1-6.
[7] 中华医学会放射学分会骨关节学组,中国医师协会放射医师分会肌骨学组,中华医学会骨科学分会骨质疏松学组,等.骨质疏松的影像学与骨密度诊断专家共识[J].中华放射学杂志,2020,54(8):745-752.
[8] 徐明曦.椎体骨质疏松性骨折MRI研究进展[J].中国医疗器械信息,2020,26(13):59-60.
[9] HIREN S R, VIJAY N S, JAYWANT S K.Comparison of visual analogue scale(VAS)and the nasal obstruction symptom evaluation(NOSE)score in evaluation of post septoplasty patients[J].World Journal of Otorhinolaryngology-Head and Neck Surgery,2020,6(1):53-58.
[10] FAIRBAN K, JEREMY C T.Oswestry disability index[J].Journal of Neurosurgery,2018,20(2):241-242.
[11] ZHANG Y,LIU H,HE F,et al.Safety and efficacy of percutaneous kyphoplasty assisted with O-arm navigation for the treatment of osteoporotic vertebral compression fractures at T6 to T9 vertebrae[J].International Orthopaedics,2019,44(2):349-355.
[12] AMINNEJAD R.Re:“Effectiveness analysis of percutaneous kyphoplastycombined with zoledronicacid in treatment of primary osteoporotic vertebral compression fractures”[J].Pain Physician,2020,23(1):E68.
[13] 袁航,籍麟,高俊,等.经皮椎体后凸成形术治疗陈旧性胸腰椎骨折伴或不伴裂隙征的疗效[J].广东医学,2020,41(5):47-51.
[14] LEI F,HE W,TIAN X,et al.Prophylactic percutaneous kyphoplasty treatment for nonfractured vertebral bodies in thoracolumbar for osteoporotic patients[J].BioMed Research International,2020,6:1-7.
[15] CAO Z,WANG G,HUI W,et al.Percutaneous kyphoplasty for osteoporotic vertebral compression fractures improves spino-pelvic alignment and global sagittal balance maximally in the thoracolumbar region[J].PLoS One,2020,15(1):228-241.
[16] CHANDRA R V, MAINGARD J, ASADI H,et al.Vertebroplasty and kyphoplasty for osteoporotic vertebral fractures:what are the latest data?[J].Am J Neuroradiol,2018,39:798-806.
[17] ZOU P,GONG H L,WEI J M,et al.Spinal epidural hematoma after percutaneous kyphoplasty:case report and literature review[J].Journal of Pain Research,2020,13:2799-2804.
[18] FENG Z,LIU Y,YANG G,et al.Lumbar vertebral endplate defects on magnetic resonance images:classification,distribution patterns and associations with modic changes and disc degeneration[J].Spine,2018,43(13):919-927.
[19] ALHASHASH M, SHOUSHA M, BARAKAT A S,et al.Effects of polymethylmethacrylate cement viscosity and bone porosity on cement leakage and new vertebral fractures after percutaneous vertebroplasty:a prospective study[J].Glob Spine,2019,9(7):754-760.
[20] 胡晓音,赵椰枫,王鸥.经皮椎体后凸成形术治疗A3·1型,A3·2型骨质疏松性椎体爆裂骨折的疗效观察[J].颈腰痛杂志,2020,41(3):107-108.

备注/Memo

备注/Memo:
基金项目:乐山市市中区人民医院项目(18SZD073)
更新日期/Last Update: 1900-01-01