椎体成形术治疗脊柱骨质疏松压缩性骨折的临床研究  

Clinical Research of the Vertebroplasty Treatment of Osteoporotic Vertebral Compression Fractures

作　　者：周志刚[1] 李强[1] 严朝华[1] 傅江明 周欢斌 何嘉承[1] 喻巍[1] 

机构地区：[1]南昌大学附属九江医院,江西南昌330000

出　　处：《中国医学创新》2016年第8期46-49,共4页Medical Innovation of China

基　　金：2012年江西省卫生厅科研计划(普通)课题(2012A093)

摘　　要：目的:分析不同入路方式对于椎体成形术治疗骨质疏松压缩性骨折(VCF)效果的影响。方法:纳入2013年4月-2015年3月于本院就诊的VCF患者60例,按随机数字表法分为观察组(单侧入路)与对照组(双侧入路),每组各30例,比较两组的手术效果、术后肢体功能以及不良反应发生情况。结果:各项指标比较发现,两组椎体高度压缩率、椎体后凸Cobb角、邻近椎体骨折率以及术后不同时段的ODI评分比较均未见统计学差异(P>0.05);观察组的手术时间、骨水泥灌注量以及术后骨水泥渗漏事件发生率均显著低于对照组,组间比较差异均有统计学意义(P<0.05)。结论:单侧与双侧入路椎体成形术均可有效治疗VCF,但单侧入路的手术时间相对更短,骨水泥渗漏几率低,优势显著,可推广使用。Objective： To analyze the influence of different approaches in the treatment effect of osteoporotic compression fractures （VCF） .Method： 60 patients with VCF admitted to our hospital from April 2013 to March 2015 were selected and divided into observation group （ unilateral approach ） and control group （ bilateral approach ） with 30 cases in each group according to the random number table.The surgical results, postoperative limb function and adverse reactions occurrence were compared between the two groups.Result： The indicators showed that there was no significant difference in the vertebral body high compression rate, vertebral body posterior Cobb angle, adjacent vertebral fracture rate and postoperative ODI score in different periods between the two groups （ P〉0.05 ） .In the observation group, the operation time, bone cement perfusion and postoperative events of bone cement leakage incidence were significantly lower than which in the control group, the differences between the two groups were statistic significant （P〈0.05） .Conclusion： Both of unilateral approach and bilateral approach of Vertebroplasty can be effective in treatment of VCF, but the unilateral approach has relatively shorter operation time and lower bone cement leakage rate, the advantages is significant, it is worthy of promotion.

关 键 词：椎体成形术 骨质疏松压缩性骨折 临床效果 

分 类 号：R687.3[医药卫生—骨科学]