[1]曹磊,张磊,李克勤,等.骨水泥弥散方式对经皮椎体成形术的疗效影响[J].中国中医骨伤科杂志,2023,31(12):53-58+63.[doi:10.20085/j.cnki.issn1005-0205.231211]
　CAO Lei,ZHANG Lei,LI Keqin,et al.Effect of Bone Cement Diffusion on the Curative Effect of Percutaneous Vertebroplasty[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2023,31(12):53-58+63.[doi:10.20085/j.cnki.issn1005-0205.231211]
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骨水泥弥散方式对经皮椎体成形术的疗效影响()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第31卷
期数:
2023年12期
页码:
53-58+63
栏目:
临床研究
出版日期:
2023-12-15

文章信息/Info

Title:
Effect of Bone Cement Diffusion on the Curative Effect of Percutaneous Vertebroplasty
文章编号:
1005-0205(2023)12-0053-06
作者:
曹磊1; 张磊1; 李克勤2; 奚海翔1; 唐光平1△
1武汉市中医医院骨伤科(武汉,430014); 2湖北中医药大学
Author(s):
CAO Lei1; ZHANG Lei1; LI Keqin2; XI Haixiang1; TANG Guangping1△
1Department of Orthopedic,Wuhan Hospital of Traditional Chinese Medicine,Wuhan 430014,China; 2Hubei University of Chinese Medicine,Wuhan 430060,China.
关键词:
骨质疏松性胸腰椎椎体骨折;  经皮椎体成形术;  骨水泥弥散
Keywords:
osteoporotic thoracolumbar vertebral fractures;  percutaneous vertebroplasty;  bone cement diffusion
分类号:
R683.2
DOI:
10.20085/j.cnki.issn1005-0205.231211
文献标志码:
A
摘要:
目的:探讨经皮椎体成形术中骨水泥分布对骨质疏松性椎体压缩骨折患者临床疗效的影响。方法:回顾性分析2020年4月至2022年8月收治的骨质疏松性椎体压缩骨折患者100例,所有患者均行经皮椎体成形术治疗。患者术前均行CT及MRI检查,根据CT及MRI结果明确骨折线范围。术后均复查CT,根据术后骨水泥在椎体内分布状态分成三组,即A组骨水泥不充分弥散于骨折部位,B组骨水泥完全弥散达到骨折范围,C组骨水泥弥散超过骨折范围。所有患者术后均进行半年的门诊随访,观察三组患者术前和术后的Oswestry功能障碍指数(ODI)、Cobb角、视觉模拟量表(VAS)评分及并发症。结果:治疗后三组患者的Oswestry功能障碍指数、Cobb角和VAS评分较经皮椎体成形术前的评分均有显著改善,差异有统计学意义(P<0.05); 与A组比较,B组和C组术后的Oswestry功能障碍指数、Cobb角和VAS评分均有显著改善,差异有统计学意义(P<0.05),但是B组并发症的发生率明显低于C组,差异有统计学意义(P<0.05)。结论:经皮椎体成形术中不同弥散型的骨水泥分布形态可影响骨质疏松性椎体压缩骨折的临床疗效及并发症的发生。
Abstract:
Objective:To investigate the effect of bone cement distribution on the clinical efficacy of patients with osteoporotic vertebral compression fracture during percutaneous vertebroplasty.Methods:A retrospective study was conducted on 100 patients with osteoporotic vertebral compression fracture from April 2020 to August 2022.All patients were treated with percutaneous vertebroplasty.All patients underwent CT and MRI examinations before operation,and the range of fracture line was determined according to the results of CT and MRI.All patients were re-examined by CT after surgery,and were divided into three groups according to the distribution of bone cement in the vertebral body after surgery,that is,the inadequate diffusion of bone cement in the fracture site in group A.The bone cement in group B completely dispersed to the fracture range.In group C,the cement spread beyond the fracture range.All patients were followed up for 6 months.Oswestry disability index,Cobb angle,visual analogue scale(VAS)score and complications were observed before and after operation.Results:After treatment,the Oswestry disability index,Cobb angle and VAS scores of the three groups were significantly improved compared with the scores before percutaneous vertebroplasty(P<0.05).Compared with group A,the Oswestry disability index,Cobb angle and VAS scores of groups B and C were significantly improved(P<0.05).However,the complication rate of group B was significantly lower than that of group C(P<0.05).Conclusion:The different distribution patterns of bone cement in percutan- eous vertebroplasty may affect the clinical outcome and complications of osteoporotic vertebral compression fracture.

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备注/Memo

备注/Memo:
基金项目:湖北省卫生健康委员会科研项目(WJ2021M022)
△通信作者 E-mail:zerosasasa@163.com
更新日期/Last Update: 2023-12-10