数字化三维重建与传统经皮球囊扩张椎体后凸成形的随机对照比较  

A randomized controlled comparison between digital three-dimensional reconstruction and percutaneous balloon kyphoplasty

作　　者：王磊[1] 王黎明[2] 黄艳[1] 陆钦[3] 

机构地区：[1]淮安市第二人民医院骨科,江苏省淮安市223002 [2]南京市第一医院骨科,江苏省南京市210001 [3]淮安市第二人民医院放射科,江苏省淮安市223002

出　　处：《中国组织工程研究》2015年第39期6360-6365,共6页Chinese Journal of Tissue Engineering Research

摘　　要：背景:术者的经验对经皮球囊扩张椎体后凸成形治疗的手术时间和修复效果有直接影响,数字化技术辅助为优化修复方案开辟了新的思路。目的:比较数字化技术辅助与传统经皮球囊扩张椎体后凸成形治疗在手术时间和修复效果方面的差异。方法:选择2013年1月1日至2014年11月20日江苏省淮安市第二人民医院骨科收治的经皮球囊扩张椎体后凸成形患者64例。采用随机对照的方法,根据入院先后顺序,单数行数字化技术辅助经皮球囊扩张椎体后凸成形治疗(试验组),偶数行传统经皮球囊扩张椎体后凸成形治疗(对照组)。对两组患者的发病年龄、治疗前目测类比评分、手术时间、治疗后3 d目测类比评分以及治疗前后目测类比评分下降值等指标进行对比分析。结果与结论:经统计学分析数字化技术辅助与传统经皮球囊扩张椎体后凸成形治疗在手术时间、治疗后3 d目测类比评分和治疗前后目测类比下降值方面差异均有显著性意义(P<0.05),试验组优于对照组。提示数字化技术辅助经皮球囊扩张椎体后凸成形治疗能明显缩短手术时间,优化修复方案,获得更加理想的修复效果,提高患者满意度。BACKGROUND： Experience of the surgeon has a direct effect on the operation time and the repair effect of percutaneous balloon kyphoplasty. Digital technology-assisted rehabilitation program opened up new ideas. OBJECTIVE： To compare the differences of operation time and repair effect between digital technology and percutaneous balloon kyphoplasty. METHODS： A total of 64 patients treated with percutaneous balloon kyphoplasty in the Department of Orthopedics of the Second People＇s Hospital of Huaian from January 1, 2013 to November 20, 2014 were enrolled in this study. Using a randomized controlled method, according to the order of admission, odd number received digital technology-assisted percutaneous balloon kyphoplasty（experimental group）. Even number received percutaneous balloon kyphoplasty（control group）. Onset age, preoperative visual analogue scale score, operation time, 3-day postoperative visual analogue scale score and the decreased value of visual analogue scale score were compared and analyzed between the two groups. RESULTS AND CONCLUSION： Significant differences in operation time, 3-day postoperative visual analogue scale score and the decreased value of visual analogue scale score were detected between the two groups（P〈0.05）, and above indexes were better in the experimental group than in the control group. These findings confirm that digital technology-assisted percutaneous balloon kyphoplasty could significantly shorten operation time, optimize repair program, obtain ideal repair effect and elevate patient satisfaction.

关 键 词：脊柱骨折 椎体成形术 疼痛测定 骨科植入物 脊柱植入物 经皮球囊扩张椎体后凸成形 数字化医学 目测类比评分 

分 类 号：R318[医药卫生—生物医学工程]