[1]唐俊△ 李红波.椎体后凸成形术对不同部位单节段骨质疏松性椎体压缩骨折的作用效果分析[J].中国中医骨伤科杂志,2021,29(01):34-38.
　TANG Jun LI Hongbo.Effect of PKP on Single-Segmental Osteoporotic VertebralCompression Fractures in Different Sites[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2021,29(01):34-38.
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椎体后凸成形术对不同部位单节段骨质疏松性椎体压缩骨折的作用效果分析()
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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:
34-38
栏目:
临床研究
出版日期:
2021-01-15

文章信息/Info

Title:
Effect of PKP on Single-Segmental Osteoporotic VertebralCompression Fractures in Different Sites
文章编号:
1005-0205(2021)01-0034-05
作者:
唐俊1△ 李红波1
Author(s):
TANG Jun1△ LI Hongbo1
1Department of Spinal Surgery,The Third Affiliated Hospital of Guangxi Medical University(Nanning Second Peoples’ Hospital),Nanning 530031,China.
关键词:
经皮穿刺椎体后凸成形术;  单节段骨质疏松;  椎体压缩性骨折;  骨水泥注入
Keywords:
percutaneous kyphoplasty;  single-segment osteoporosis;  vertebral compression fractures;  bone cement injection
分类号:
R683.2
文献标志码:
A
摘要:
目的:分析经皮穿刺椎体后凸成形术(PKP)对不同部位单节段骨质疏松性椎体压缩骨折的作用效果,为临床手术的实施提供参考。方法:回顾性分析2015年6月至2018年6月行PKP手术的单节段骨质疏松性椎体压缩骨折患者78例,根据骨折部位不同分为A组(上中胸段骨折,15例),B组(胸腰段骨折,42例),C组(下腰段骨折,21例)。比较三组患者的手术情况(手术时间、术中透视次数和骨水泥注入量)、Oswestry功能障碍指数(ODI)、影像学指标(Cobb角和伤椎前缘高度比值)及骨水泥渗漏情况。结果:与A组相比,B组和C组手术时间及术中透视次数显著降低; B组骨水泥注入量显著高于A组,C组骨水泥注入量则显著高于A和B两组(P<0.05)。三组患者在术后1 d和术后1年的ODI较术前均显著降低,差异有统计学意义(P<0.05),而Cobb角和伤椎前缘高度比值较术前则显著升高(P<0.05)。A组骨水泥渗漏2例(13.33%),B组3例(7.14%),C组1例(4.76%)。结论:PKP对不同部位的单节段骨质疏松性椎体压缩骨折的治疗在临床上均具有较好的疗效。
Abstract:
To analyze the effect of percutaneous kyphoplasty(PKP)on single-segment osteoporotic vertebral compression fractures in different sites,and to provide reference for the implementation of clinical surgery.Methods:78 patients with single-segment osteoporotic vertebral compression fractures who underwent PKP surgery from June 2015 to June 2018 were retrospectively analyzed.According to the fracture site,they were divided into group A(15 cases of upper and middle thoracic fractures),group B(42 cases of thoracolumbar fractures),and group C(21 cases of lower lumbar fractures).The surgical status(operation time,intraoperative fluoroscopy and bone cement injection),Oswestry dysfunction index(ODI),imaging index(Cobb angle and the height ratio of injury cone leading edge)and the situation of bone cement leakage were compared between three groups.Results:Compared to group A,the operation time and intraoperative fluoroscopy times of group B and group C were significantly decreased(P<0.05).The amount of bone cement injection in group B was significantly higher than that in group A,and the amount of bone cement injection in group C was significantly higher than that in group A and B(P<0.05).Compared to before surgery,the ODI among three groups were significantly reduced at 1 d and 1 year after operation(P<0.05),while the Cobb angle and the ratio of the eight in front of the injury cone was significantly increased(P<0.05).There were 2 cases(13.33%)of bone cement leakage in group A,3 cases(7.14%)in group B,and 1 case(4.76%)in group C.Conclusion:PKP has a good clinical effect on the treatment of single-segment osteoporotic vertebral compression fractures in different parts.

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备注/Memo

备注/Memo:
1广西医科大学第三附属医院(南宁市第二人民医院)脊柱外科(南宁,530031)
△通信作者 E-mail:ttjun12@126.com
更新日期/Last Update: 2021-01-15