骨质疏松性压缩骨折椎弓根残留骨水泥评分与术后腰痛关系  

Analysis of Correlation between the Scores of Residual Bone Cement and Low Back Pain after Percutaneous Vertebroplasty in Osteoporotic Compression Fractures

作　　者：丁慧勇[1] 侯彦杰[1] 阿布力米提.阿木提 

机构地区：[1]新疆医科大学第二附属医院骨科,乌鲁木齐830063

出　　处：《中国中西医结合外科杂志》2017年第2期134-136,共3页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

摘　　要：目的:研究骨质疏松性压缩骨折经皮椎体成形术椎弓根残留骨水泥评分与术后腰痛的相关性。方法:选取2013年1月—2015年5月行经皮椎体成形术治疗、且术后随访1年均出现不同程度腰痛的骨质疏松性压缩骨折的84例患者为观察对象,根据预后不同分为为预后良好组(A组)和预后不良组(B组),每组42例,对比两组椎弓根残留骨水泥评分差异,并与VAS评分做相关性比较。结果:两组治疗前后VAS评分均有显著差异,A组治疗后VAS评分(2.24±0.78)分,显著低于B组(4.52±0.95)分,(P<0.05);A组椎弓根内、外侧残留骨水泥评分(0.21±0.05)分和(0.25±0.07)分,均显著低于B组(0.38±0.12)分和(0.45±0.16)分,(P<0.05);椎弓根内侧区及外侧区残留骨水泥残留评分与术后腰痛均呈正相关关系(r=0.749,0.761;P=0.000,0.000);A组再骨折发生率(0%)及住院时间(7.62±2.45)d,均显著低于B组(均P<0.05)。结论:骨质疏松性压缩骨折经皮椎体成形术椎弓根残留骨水泥评分与术后腰痛呈正相关关系,应对骨水泥残留物进行清除,从而提高治疗效果,减轻术后腰痛程度。Objective To study the correlation between the scores of pedicle residual bone cement and the low back pain after percutaneous vertebroplasty for osteoporotic vertebral body compression fractures.Methods Eighty-four patients receiving percutaneous vertebroplasty from January 2013 to May 2015 were followed up for 1 year and had varying degrees of low back pain.They were selected as subjects.According to the patient＇s prognosis results,the patients were divided into A group（favourable prognosis）and B group（poor prognosis）.Each group had 42 cases.The scores of pedicle residual bone cement between two groups was compared and the relationship of pedicle residual bone cement scores with VAS scores was analyzed.Results There was significant difference of VAS score between two groups.After treatment,VAS scores in A group（2.24±0.78）were significantly lower than those in B group（4.52±0.95,P〈0.05）.The scores of inside and outside pedicle residual bone cement in A group（0.21±0.05 and 0.25±0.07）were significantly lower than those in B group（0.38±0.12 and 0.45±0.16,P〈0.05）.There was positive correlation between scores of inside and outside pedicle residual bone cement and low back pain following sugery（r=0.749,0.761,P=0.000,0.000）.The incidence of refracture（0%） and the length of stay （7.62±2.45）d in A group were significantly lower than those in B group（P〈0.05）.Conclusion There was positive correlation between pedicle residual bone cement scores and the low back pain after percutaneous vertebroplasty for osteoporotic vertebral body compression fractures,which suggests that residue bone cement should be removed and so to improve the treatment effect and reduce degree of low back pain.

关 键 词：骨质疏松性压缩骨折 皮椎体成形术 骨水泥 术后腰痛 

分 类 号：R683[医药卫生—骨科学]