[1]李业成,张巍△.经皮椎体支架成形术治疗腰椎骨质疏松重度压缩性骨折的疗效分析[J].中国中医骨伤科杂志,2025,33(10):76-80.[doi:10.20085/j.cnki.issn1005-0205.251015]
　LI Yecheng,ZHANG Wei.Analysis of the Efficacy of Percutaneous Vertebral Body Stenting in Treating Severe Osteoporotic Lumbar Vertebral Compression Fractures[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(10):76-80.[doi:10.20085/j.cnki.issn1005-0205.251015]
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经皮椎体支架成形术治疗腰椎骨质疏松重度压缩性骨折的疗效分析()

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

卷:
第33卷
期数:
2025年10期
页码:
76-80
栏目:
临床报道
出版日期:
2025-10-15

文章信息/Info

Title:
Analysis of the Efficacy of Percutaneous Vertebral Body Stenting in Treating Severe Osteoporotic Lumbar Vertebral Compression Fractures
文章编号:
1005-0205(2025)10-0076-05
作者:
李业成1; 张巍1△
1上海健康医学院附属崇明医院(上海,202150)
Author(s):
LI Yecheng1; ZHANG Wei1△
1Chongming Hospital Affiliated to Shanghai University of Medicine and Health Sciences,Shanghai 202150,China.
关键词:
经皮椎体支架成形术;  骨质疏松;  重度压缩性骨折
Keywords:
percutaneous vertebral body stenting;  osteoporosis;  severe compression fracture
分类号:
R683.2
DOI:
10.20085/j.cnki.issn1005-0205.251015
文献标志码:
B
摘要:
目的:探讨经皮椎体支架成形术(VBS)治疗腰椎骨质疏松重度压缩性骨折的临床疗效。方法:纳入2022年1月至2024年1月诊治的45例腰椎骨质疏松重度压缩性骨折患者,记录患者腰腿痛视觉模拟量表(VAS)评分、Oswestry功能障碍指数(ODI)评分、Cobb角、椎体前缘高度、椎体中间高度、椎体后缘高度、术后并发症并进行影像学评估。结果:45例患者随访6～12个月,平均为(8.6±3.4)个月。术后随访各时间点与术前VAS评分及ODI评分比较差异有统计学意义(P<0.000 1),术后各随访时间点与术前Cobb角、椎体前缘高度、椎体中间高度、椎体后缘高度比较差异有统计学意义(P<0.000 1)。2例患者出现骨水泥渗漏,无血管神经损伤并发症。结论:椎体支架成形术可有效复位并维持椎体的高度,具有良好临床疗效,值得临床推广应用。
Abstract:
Objective:To investigate the clinical efficacy of percutaneous vertebral body stenting(VBS)in the treatment of severe osteoporotic lumbar vertebral compression fractures.Methods:A total of 45 patients with severe osteoporotic lumbar vertebral compression fractures treated between January 2022 and January 2024 were included.Clinical outcomes were evaluated by recording visual analogue scale(VAS)scores for low back and leg pain,Oswestry disability index(ODI)scores,Cobb angles,anterior vertebral height,mid-vertebral height,posterior vertebral height,postoperative complications,and radiographic assessments.Results:All 45 patients were followed up for 612 months,mean(8.6±3.4)months.Statistically significant differences were observed between preoperative and postoperative follow-up time points in VAS scores,ODI scores,Cobb angles,anterior vertebral height,mid-vertebral height,and posterior vertebral height(P<0.000 1).Two cases exhibited bone cement leakage,with no vascular or neurological complications reported.Conclusion:VBS effectively restores and maintains vertebral height,demonstrating favorable clinical outcomes.It is a promising technique worthy of clinical application.

参考文献/References:

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(收稿日期:2025-05-08)

备注/Memo

备注/Memo:
基金项目:上海崇明区科委2024年度医疗卫生类科研课题(CKY2024-32)
上海健康医学院2023年度校级科研项目(SSF-23-24-007)
△通信作者 E-mail:477530342@qq.com
更新日期/Last Update: 2025-10-10