[1]桑莉莉 刘洪亮 黄泽鑫 许树柴 刘军 陈伯健△.PVP及PKP治疗骨质疏松椎体压缩性骨折的疗效对比研究[J].中国中医骨伤科杂志,2017,25(08):22-24,28.
　SANG Lili LIU Hongliang HUANG Zexin XU Shuchai LIU Jun CHEN Bojian.Comparative Study of PVP/PKP Clinical Effects for Treating Osteoporotic Vertebral Compression Fractures[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2017,25(08):22-24,28.
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PVP及PKP治疗骨质疏松椎体压缩性骨折的疗效对比研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第25卷
期数:
2017年08期
页码:
22-24,28
栏目:
临床研究
出版日期:
2017-08-03

文章信息/Info

Title:
Comparative Study of PVP/PKP Clinical Effects for Treating Osteoporotic Vertebral Compression Fractures
文章编号:
1005-0205(2017)08-0022-03
作者:
桑莉莉1 刘洪亮2 黄泽鑫2 许树柴2 刘军2 陈伯健2△
1.广州中医药大学附属中山医院(广州,528400)
2.广州中医药大学附属广东省中医院
△.通信作者 E-mail:13538796124@qq.com
Author(s):
SANG Lili1 LIU Hongliang2 HUANG Zexin2 XU Shuchai2 LIU Jun2 CHEN Bojian2△
1.The Affiliated Zhongshan Hospital of Guangzhou University of Chinese Medicine,Zhongshan 528400,Guangdong China;
2.The Second Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine,Guangzhou 510105,China.
关键词:
经皮椎体成形术(PVP);  经皮椎体后凸成形术(PKP);  骨质疏松性椎体压缩骨折;  VAS疼痛评分;  局部后凸Cobb角
Keywords:
percutaneous vertebroplasty(PVP);  percutaneous kyphoplasty(PKP);  Osteoporotic vertebral compression fractures;  VAS score;  local sagittal Cobb angle
分类号:
R683.2
文献标志码:
A
摘要:
目的:大样本量探讨经皮椎体成形术(PVP)、经皮椎体后凸成形术(PKP)治疗椎体骨质疏松性压缩性骨折的临床疗效。方法:根据手术方式分为PVP组(300例)和PKP组(260例),进行术前术后Cobb角、疼痛视觉模拟评分(VAS)等指标对比。结果:PVP组与PKP组在骨折椎体后凸Cobb角纠正方面,二者差异有统计学意义(P<0.01),两组在骨折椎体术前后凸Cobb角、骨折椎体术后后凸Cobb角、术前VAS疼痛评分、术后VAS疼痛评分及VAS疼痛评分降低方面差异无统计学意义(P>0.05)。结论:PVP与PKP均可明显降低患者腰背部疼痛、纠正椎体后凸畸形,但与PVP相比,PKP纠正骨折椎体后凸Cobb角度较为明显。
Abstract:
Objective:To investigate the therapeutic effects of percutaneous vertebroplasty(PVP)and percutaneous kyphoplasty(PKP)for thoracolumbar vertebral body compression fractures in large sample size.Methods:The patients were divided into PVP group(300 cases)and PKP group(250 cases)for studying the clinic information including vertebral bodies' local sagittal Cobb angle and Visual Analogue Scale(VAS).Results:There are significant differences in correction of vertebral bodies' local sagittal Cobb angle between PVP group and PKP group(P<0.01).There are no differences in preoperative vertebral bodies' local sagittal Cobb's angle,postoperative vertebral bodies' local sagittal Cobb angle,preoperative VAS score,postoperative VAS score and VAS score reduction between PVP group and PKP group(P>0.05).Conclusion:Both PVP and PKP can obviously relieve the back pain and correct vertebral kyphosis of the patients with thoracolumbar vertebral body compression fractures.However,compared with PVP,PKP can obviously correct vertebral bodies' local sagittal Cobb angle.

参考文献/References:

[1] 刘建,俞雷钧,宋红浦,等.经皮椎体成形术后非手术椎体骨折的危险因素分析[J].中国骨伤,2013,26(3):190-193.
[2] 何磊,钱宇,金以军.单球囊双侧交替扩张后凸成形术治疗骨质疏松性椎体压缩骨折的病例对照研究[J].中国骨伤,2014,27(12):1056-1061.
[3] 孙阳.经皮穿刺椎体成形术与保守法治疗骨质疏松性椎体压缩性骨折短期疗效对比[J].中国老年学杂志,2014,34(17):5005-5009.
[4] 黄江发,桑莉莉,谢雨舟,等.PVP/PKP术后非手术椎体再发骨折的相关因素分析[J].中国骨伤,2016,24(7):40-43.
[5] 吴耀,王峰,周建强,等.经皮椎体成形术和经皮椎体后凸成形术治疗骨质疏松性椎体骨折的临床疗效分析[J].中国骨伤,2014,27(5):385-389.
[6] Bozkurt M,Kahilogullari G,Ozdemir M,et al.Comparative analysis of vertebroplasty and kyphoplasty for osteoporotic vertebral compression fractures[J].Asian Spine J,2014,8(1):27-34.
[7] Phillips FM,Ho E,Campbell Hupp M,et al.Early radiographic and clinical results of balloon kyphoplasty for the treatment of osteoporotie vertebral compression fractures[J].Spine,2003,28(19):2260-2265.
[8] 王晓庆,吴学元,靳占奎,等.经皮椎体后凸成形术治疗老年骨质疏松性椎体压缩骨折的效果[J].中国康复理论与实践,2016,22(8):977-980.
[9] 赵阳.椎弓根入路经皮椎体成形术或后凸成形术治疗胸腰段骨质疏松椎体压缩性骨折[J].医药前沿,2013(29):90-91.
[10] Garfin SR,Buckley RA,Ledlie J.Balloon kyphoplasty for symptomatic vertebral body compression fractures results in rapid,significant,and sustained improvements in back pain,function,and quality of life for elderly patients[J].Spine(PhilaPa 1976),2006,31(19):2213-2220.
[11] 刘桂东,陈德喜,李巍,等.经皮椎体成形术与非手术治疗骨质疏松性椎体压缩骨折的疗效的临床对照研究[J].中国骨与关节损伤杂志,2015,30(1):60-62.
[12] Ruiz SF,Santiago CA,Guzman AL,et al.Comparative review of vertebroplasty and kyphoplasty[J].World J Radiol,2014,6(6):329-343.
[13] 张鹭,吴军,路锟,等.经皮椎体成形术治疗老年骨质疏松椎体压缩性骨折术后邻近椎体骨折的相关危险因素[J].中国老年学杂志,2015(16):4612-4614.
[14] Stoffel M,Wolf I,Ringel F,et al.Treatment of painful osteoporotic compression and burst fractures using kyphoplasty:a prospeetive observational design[J].J Neurosurg Spine,2007,6(4):313-319.
[15] Molly S,Mathis JM,Belkoff SM,et al.The direct of vertebral body percentage fill on mechanical behavior during percutaneous ertebroplasty[J].Spine,2003,28(14):1549-1554.

备注/Memo

备注/Memo:
基金项目:广东省中医药局建设中医药强省重点科研项目(20123006)
更新日期/Last Update: 2017-08-15