骨填充网袋应用于经皮椎体成形术治疗老年骨质疏松性椎体压缩骨折的临床效果分析  

Clinical analysis of bone filling pockets in percutaneous vertebroplasty for the treatment of osteoporotic vertebral compression fracture in the elderly

作　　者：王健[1] 唐东 廖燚[1] Wang Jian;Tang Dong;Liao Yi(Department of Orthopaedics Center,Karamay Central Hospital,Karamay 834000,China;Community Health Service Center,Yinhe Road Street,Karamay District,Karamay 834000,China)

机构地区：[1]克拉玛依市中心医院骨科中心,新疆克拉玛依市834000 [2]克拉玛依市克拉玛依区银河路街道社区卫生服务中心,新疆克拉玛依市834000

出　　处：《中国临床实用医学》2020年第1期32-36,共5页China Clinical Practical Medicine

摘　　要：目的探究骨填充网袋(FP)应用于经皮椎体成形术(PVP)治疗老年骨质疏松性椎体压缩骨折(OVCF)的有效性、安全性。方法选取2016年1月至2018年12月克拉玛依市中心医院骨科中心收治的在PVP中使用FP治疗的38例老年OVCF患者,男8例,女30例,年龄(76.32±2.43)岁,年龄范围为62~82岁,共42椎节。测量术前、术后3 d、术后12个月时的椎体高度,对患者腰痛行疼痛视觉模拟评分(VAS)和奥斯维斯功能障碍评分(ODI),观察患者术后骨水泥渗漏情况。结果38例患者均随访10~12个月,随访期间无肺栓塞发生,骨水泥渗漏2例,未出现脊髓及神经根损伤,无临近椎体及术椎再骨折。术后3 d[(1.1±0.4)cm、(0.8±0.1)cm、(2.4±0.5)cm]、术后12个月[(1.3±0.4)cm、(1.4±0.2)cm、(2.6±0.3)cm]患者的椎体高度较显著高于术前[(0.6±0.1)cm、(0.7±0.2)cm、(2.2±0.6)cm],差异有统计学意义(P<0.01)。术后3 d、术后12个月患者的VAS[(3.50±1.33)分、(1.55±1.26)分]、ODI[(21.72±5.83)分、(10.50±4.77)分]明显低于术前[(7.14±1.32)分、(61.74±5.83)分],差异有统计学意义(P<0.01)。结论FP应用于PVP治疗OVCF,能明显缓解椎体骨折的疼痛,改善患者的生活质量,保持椎体高度,且能有效减少骨水泥渗漏。Objective To investigate the efficacy and safety of bone filling pockets(FP)in percutaneous vertebroplasty(PVP)of elderly osteoporotic vertebral compression fracture(OVCF).Methods A retrospective study was performed on 38 cases of elderly patients with OVCF who were performed FP in the PVP from January 2016 to December 2018.There were 8 males and 30 females,aged(76.32±2.43)years old,ranging from 62 to 82 years old,with a total of 42 vertebral segments.The height of vertebral body was measured before operation,3 days after operation and 12 months after operation.The pain visual analogue score(VAS)and Oswestry dysfunction score(ODI)were used to observe the leakage of bone cement.Results All 38 patients were followed up for 10-12 months.During the follow-up period,there were no pulmonary embolism,2 bone cement leakage,no spinal cord and nerve root injury,no adjacent vertebral body and operative vertebral body re-fracture.The height of vertebral body of patients[(1.1±0.4)cm,(0.8±0.1)cm,(2.4±0.5)cm]and 12 months after surgery[(1.3±0.4)cm,(1.4±0.2)cm,(2.6±0.3)cm]was significantly higher than those before surgery[(0.6±0.1)cm,(0.7±0.2)cm,(2.2±0.6)cm],with statistically significant differences(P<0.01).VAS scores[(3.50±1.33)scores,(1.55±1.26)scores]and ODI scores[(21.72±5.83)scores,(10.50±4.77)scores]of the patients 3 days after the operation and 12 months after the operation were significantly lower than those of the patients before the operation[(7.14±1.32)scores,(61.74±5.83)scores],and the difference was statistically significant(P<0.01).Conclusion FP applied in the treatment of OVCF by PVP can significantly relieve the pain of vertebral fracture,improve the quality of life of patients,maintain the height of the vertebral body,and effectively reduce bone cement leakage.

关 键 词：经皮椎体成形术 骨质疏松性椎体压缩骨折 骨填充网袋 骨水泥渗漏 

分 类 号：R687[医药卫生—骨科学] R5[医药卫生—外科学]