单侧与双侧球囊扩张椎体后凸成形术临床疗效比较  

The comparison of unilateral and bilateral balloon kyphoplasty for the treatment of osteoporotic vertebral compression fractures

作　　者：乔全根 

机构地区：[1]宜君县人民医院骨科,陕西宜君727299

出　　处：《延安大学学报（医学科学版）》2017年第1期56-59,共4页Journal of Yan'an University:Medical Science Edition

摘　　要：目的比较单侧与双侧球囊扩张椎体后凸成形术(balloonkyphoplasty,BKP)治疗骨质疏松性椎体压缩骨折(osteoporotic vertebral compression fractures,OVCFs)的临床疗效。方法回顾性分析43例(50节椎体)行单侧或双侧BKP治疗OVCFs患者的临床资料。单侧BKP组20例(21节椎体),双侧BKP组23例(29节椎体),T116节,T1211节,L110节,L27节,L49节,L57节。比较两组手术时间、术中X射线曝光次数、骨水泥渗漏率,术前术后疼痛视觉模拟评分(VAS)、伤椎椎体高度、脊柱后凸cobb角。结果单侧BKP组与双侧BKP组手术时间分别为(46±17)min、(71±23)min,差异有统计学意义(P<0.05);C形臂X线机曝光次数分别为(29±12)次、(50±19)次,差异有统计学意义(P<0.05);骨水泥渗漏率分别为10.0%、13.0%,差异无统计学意义(P>0.05)。末次随访时,单侧与双侧BKP伤椎前缘高度值分别为(68.9±18.2)%、(67.1±20.4)%;伤椎中柱高度值分别为(72.3±24.7)%、(71.5±23.9)%;Cobb角分别为(10.1±3.3)°、(10.7±2.9)°;VAS评分分别为(2.8±1.5)分、(2.9±1.9)分;均无统计学差异(P>0.05)。结论单侧BKP是安全、有效的,并且能减少手术对患者的损伤。Objective To compare the efficacy of unilateral versus bilateral balloon kyphoplasty（BKP） for osteoporotic vertebral compression fractures（OVCFs）.Methods The clinical data of 43 cases（50 segments） with OVCFs undergoing either unilateral or bilateral BKP were analyzed retrospectively.20 cases（21 segments） underwent unilateral BKP,23 cases（29 segments） underwent bilateral BKP.There were 6 of T11,11 of T12,10 of L1,7 of L2,9 of L4 and 7 of L5.The operation time,X ray exposure times,cement leakage rate,anterior and middle vertebral height,VAS scores and Cobb angle at final follow-up after operation between unilateral and bilateral BKP were compared.Results The mean operative times were（46 ± 17） min in unilateral BKP group and（71 ± 23） min in bilateral BKP group,and there was statistically significant difference（P〈0.05）.The average X-ray exposure times were（29 ± 12） times in unilateral BKP group and（50 ± 19） times in bilateral BKP group（P〉0.05）; the cement leakage rates were 10.0% in unilateral BKP group and 13.0% in bilateral BKP group（P〈0.05）.The heights of anterior vertebral were（68.9 ± 18.2） % in unilateral BKP group and（67.1 ± 20.4） % in bilateral BKP group（P〈0.05） at last follow-up; The median heights of the midbrain were（72.3 ± 24.7） % for unilateral BKP group and（71.5 ± 23.9） % for bilateral BKP group（P〉0.05）; VAS scores were 2.8 ± 1.5 in unilateral BKP group and2.9 ± 1.9 in bilateral BKP group（P〉0.05）; Cobb angles were（10.1 ± 3.3） in unilateral BKP group and（10.7± 2.9） in bilateral BKP group（P〉0.05）.Conclusion Unilateral BKP is safe and effective,and can reduce the surgical damage to patients.

关 键 词：骨质疏松:椎体压缩骨折 椎体后凸成形术 单侧 双侧 

分 类 号：R681.5[医药卫生—骨科学]