[1]李业成,张巍△.经皮椎体后凸成形术联合单侧双通道内镜技术治疗脊柱外伤后凸疗效分析[J].中国中医骨伤科杂志,2022,30(10):52-56.
　LI Yecheng,ZHANG Wei.Efficacy of PKP Combined with Unilateral Biportal Endoscopic on the Treatment of Type Ⅲ Kummell's Disease[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(10):52-56.
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经皮椎体后凸成形术联合单侧双通道内镜技术治疗脊柱外伤后凸疗效分析()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年10期
页码:
52-56
栏目:
临床报道
出版日期:
2022-10-15

文章信息/Info

Title:
Efficacy of PKP Combined with Unilateral Biportal Endoscopic on the Treatment of Type Ⅲ Kummell's Disease
文章编号:
1005-0205(2022)10-0052-05
作者:
李业成1; 张巍1△
1上海市新华医院崇明分院骨科(上海,202150)
Author(s):
LI Yecheng1; ZHANG Wei1△
1Department of Orthopedics,Xinhua Hospital Chongming Branch,Shanghai 202150,China.
关键词:
经皮椎体后凸成形术;  单侧双通道内镜;  临床疗效
Keywords:
percutaneous kyphoplasty;  unilateral biportal endoscopic;  clinical efficacy
分类号:
R681.5
文献标志码:
B
摘要:
目的:探讨经皮椎体后凸成形术(Percutaneous Kyphoplasty,PKP)联合单侧双通道内镜技术(Unilateral Biportal Endoscopic,UBE)治疗Ⅲ型Kummell病临床疗效。方法:纳入自2019年1月至2021年3月诊治的40例Ⅲ型Kummell病患者。记录患者术前及术后1周、1个月、3个月、6个月、10个月腰腿痛视觉模拟量表(VAS)评分和Oswestry功能障碍指数(Oswestry Disability Index,ODI)。记录术中骨水泥注入量、术后第一天血红蛋白下降量、手术时间、术后下地活动时间、术前与末次随访时后凸Cobb角、术后并发症。结果:40例患者均获得随访6～10个月,平均为(6.1±2.2)个月。术前与术后各时间点VAS评分及ODI评分比较差异有统计学意义(P<0.05),术前Cobb角与末次随访时Cobb角比较差异有统计学意义(P<0.001,t=18.74),术中骨水泥注入量为5～7 mL,平均为(5.3±1.2)mL; 术后第一天血红蛋白下降量为7.9～2.5 g/L,平均为(8.6±2.3)g/L; 手术时间为146～167 min,平均为(145.6±9.3)min; 术后下地活动时间为3～5 d,平均为(2.6±1.5)d。术后发生骨水泥渗漏1例。结论:经皮椎体后凸成形术联合单侧双通道内镜技术治疗Ⅲ型Kummell病创伤小,出血少,恢复快,值得临床推广应用。
Abstract:
Objective:To investigate the clinical efficacy of percutaneous kyphoplasty(PKP)combined with unilateral biportal endoscopic(UBE)on the treatment of type Ⅲ Kummell's disease.Methods: 40 patients with type Ⅲ Kummell's disease from January 2019 to March 2021 were included.The visual analog scale(VAS)and Oswestry disability index(ODI)scores of low back pain were evaluated in all patients preoperatively,postoperatively at 1 week,1 month,3 months,6 months and 10 months.The intraoperative bone cement injection,the decrease of hemoglobin at the first day after operation,the operation time,the postoperative ambulation time,the kyphosis Cobb angle before operation and at the last follow-up and the postoperative complications were recorded.Results:40 patients were followed up for 6 to 10 months,with(6.1±2.2)months on average.There was significant difference in VAS scores and ODI scores between preoperative and postoperative time points(P< 0.05).There was significant difference in Cobb angle between preoperative and last follow-up(P<0.001,t=18.74).The amount of bone cement injected during operation was 5 to 7 mL,with(5.3±1.2)mL on average; the decrease of hemoglobin at the first day after operation was 7.9 to 2.5 g/L,with(8.6±2.3)g/L on average.The operation time was 146 to 167 min,with(145.6±9.3)min on average,and the postoperative ambulation time was 3 to 5 d,with(2.6±1.5)d on average.1 case had bone cement leakage after operation.Conclusion:PKP combined with unilateral biportal endoscopic has the advantages of less trauma,less bleeding and rapid recovery on the treatment of type Ⅲ Kummell's disease,which is worthy of clinical application.

参考文献/References:

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备注/Memo

备注/Memo:
△通信作者 E-mail:477530342@qq.com
更新日期/Last Update: 2022-10-10