单侧与双侧入路行椎体成形术治疗老年骨质疏松性椎体骨折疗效比较  

Comparison of clinical effects between unipedicular and bipedicular approach to percutaneous vertebroplasty for osteoporosis vertebral compressive fractures

作　　者：童卫华[1] 扈佐鸿[1] 刘浩[1] 吴吉光[1] 李祖国[1] 

机构地区：[1]解放军庐山疗养院骨科,江西省九江市332000

出　　处：《实用医学杂志》2015年第22期3656-3660,共5页The Journal of Practical Medicine

基　　金：国家自然科学基金项目(编号:81201633)

摘　　要：目的：探讨和比较单侧与双侧入路行椎体成形术治疗骨质疏松性骨折的临床效果和安全性。方法：回顾性分析2008~2014年收治的诊断为骨质疏松性骨折并行椎体成形术治疗的患者147例。其中95例给予单侧椎弓根入路（单侧组）,52例给予双侧椎弓根入路（双侧组）。结合至少半年的随访资料,对两组患者在术后的VAS疼痛评分、Cobb角,Mac Nab疗效,X线透视次数、住院时间,手术时间、骨水泥渗漏等并发症等指标进行分析和评价。结果：两组患者在术后疼痛评分,Cobb角恢复,Mac Nab疗效,并发症等方面差异无统计学意义（P〉0.05）。但单侧椎弓根入路患者在手术时间,X线暴露次数等方面明显优于双侧椎弓根入路组（P〈0.05）。结论：两种手术方式在改善患者术后疼痛及并发症等方面无明显差异。但单侧入路手术时间短,射线暴露次数少,患者痛苦少。Objective To compare the clinical effect and safety of percutaneous vertebroplasty between unipedicular and bipedicular approach for patients with osteoporosis vertebral compressive fractures. Methods A retrospective study was carried out on 147 patients with single osteoporotic vertebral compressive fractures from 2008 to 2014. Ninety-five cases were treated by PVP via a unipedicular approach （unipedicular group） and 52 cases were treated by the bipedicular approach （bipedicular group）. The operation time, Cobb, frequency of X- ray exposure, complications like bone cement and postoperative VAS score were compared. Results No significant differences on the VAS score, cobb and complications were found （P 〉 0.05）. However, there were significant differences on the operation time and X-ray exposure frequency （P 〈 0.05）. Conclusions No significant differences on clinical effects were found between the unipedicular and the bipedicular approach to percutaneous vertebroplasty for osteoporosis vertebral compressive fractures. However, the unipedicular approach can shorten the operation time and reduce X-ray exposure.

关 键 词：骨质疏松 经皮椎体成形术 骨折 

分 类 号：R687.3[医药卫生—骨科学]