单侧椎弓根旁入路PKP治疗骨质疏松性胸腰椎压缩性骨折的疗效分析  

The Effects of PKP Treatment via Unilateral Extra-pedicle of Vertebral Arch Approach for Osteoporotic Thoracolumbar Vertebral Compression Fractures

作　　者：江天蔚[1] 王澍[1] 

机构地区：[1]辽宁省大连市第二人民医院骨科,大连116011

出　　处：《中国现代手术学杂志》2015年第1期43-45,共3页Chinese Journal of Modern Operative Surgery

摘　　要：目的探讨单侧椎弓根旁入路经皮椎体后凸成形手术(percutaneous kyphoplasty,PKP)对老年骨质疏松性椎体压缩性骨折(osteoporotic vertebral compression facture,OVCF)患者的临床疗效。方法将58例确诊为OVCF患者随机分为单侧入路组及双侧入路组,每组各29例患者,分别行不同入路PKP手术,对比分析两组治疗效果。结果单侧入路组手术时间、X线照射时间、骨水泥用量、住院时间、卧床休息时间显著少于双侧入路组,差异有统计学意义(P<0.05);单侧入路组术后1个月及术后3个月VAS评分、伤椎后凸Cobb角、伤椎前缘高度、伤椎中部高度、ODI改善效果显著优于双侧入路组(P<0.05)。结论单侧椎弓根旁入路PKP手术能有效改善老年OVCF患者疼痛感及运动功能,可增加椎体高度,术后骨水泥渗漏率及并发症发生率低,安全有效。Objective To evaluate the clinical efficacy of percutaneous kyphoplasty（ PKP） via unilateral extra-pedicle of vertebral arch for thoracolumbar osteoporotic vertebral compression fractures（ OVCF）. Methods 58 cases of OVCF were randomly divided into unilateral approach PKP group（ unilateral approach group,n = 29） and bilateral approach PKP group（ bilateral approach group,n = 29）. The effects of two groups were compared. Results The operation time,the X-ray irradiation time,bone cement dosage,length of hospital and stay in bed time of the unilateral approach group were significantly less than the bilateral approach group,and the differences were statistically significant（ P〈0. 05）. The VAS score,vertebral kyphosis Cobb angle,vertebral anterior height,vertebral central height and ODI improvement effect of unilateral approach group after1 month and 3 months were both better than the bilateral approach group（ P〈0. 05）. Conclusion It is safe and effective of the PKP surgery via unilateral extra-pedicle of vertebral arch,which can relieve pain,improve movement,increase the vertebral height,and decrease the bone cement leakage rate and postoperative complication rate in elderly OVCF patients.

关 键 词：脊柱骨折 椎体成形术 椎弓根 

分 类 号：R687.3[医药卫生—骨科学]