改良单一穿刺法椎体成形术治疗胸腰椎骨质疏松性骨折的疗效分析  

Effect Analysis of Modified Single Puncture Vertebroplasty for the Treatment of Thoracolumbar Vertebral Osteoporotic Fracture

作　　者：周小雄 肖龙毅 

机构地区：[1]平潭综合实验区医院,福建福州350400

出　　处：《中国医药指南》2016年第35期15-17,共3页Guide of China Medicine

摘　　要：目的对单一穿刺法骨水泥注入椎体成形术治疗老年胸腰椎体骨质疏松性压缩性骨折的疗效进行分析。方法对2012年9月至2015年9月间,我院骨科收治的55例骨质疏松性脊柱压缩性骨折患者,随机分为两组,分别按照单一穿刺针法和传统穿刺法进行经皮椎体成形治疗,并分别对两组患者的手术时间,疼痛缓解程度,椎体高度恢复,骨水泥渗漏等指标进行对比。结果改良单一穿刺法组和传统穿刺法组相比,末次随访时疼痛缓解及椎体高度恢复率无明显差异(P>0.05)。但手术时间明显缩短,穿刺点疼痛更小,末次随访时,骨水泥渗漏率、邻节段椎体骨折发生率更低,且差别有统计学意义(P<0.05)。结论改良单一穿刺针法椎体成形治疗操作过程中,在达到满意临床效果同时,可有效缩短手术时间、减少手术创伤及神经根激惹,降低相邻节段继发骨折等并发症发生率。Objective To treat the elderly osteoporosis thoracic and lumbar vertebral compression tracture t^y lmprovea single-puncture rercutaneous vertebroplasty, and the effect was analysed. Methods During September 2012 to September 2015,55 hospitalized patients of elderly osteoporosis vertebrae compression, were divided randomly into two groups, and underwent PVP by the method of Single-puncture and routine puncture respectively. The operation time, pain relief, restoration of the height of vertebral body, leakage of bone cement were assessed and analyzed. Results At the last follow up, there was no significant difference in Pain relief and vertebral height restoration between the Single puncture group and routine puncture group（P〉0.05）. However, PVP by the method of single puncture showed shorter operation time, less puncture point pain, lower incidence of bone cement leakage and adjacent-level fractures, with statistical difference （P〈0.05）, compared with routine puncture PVP. Conclusion The technique of improved single puncture of PVP, may shorten the operation time, reduce operative trauma and nerve root irritation, lower adjacent-level fracture rate, and achieve satisfied clinic outcome.

关 键 词：单一穿刺 常规穿刺 骨质疏松性压缩性骨折 椎体成形术 

分 类 号：R683[医药卫生—骨科学]