填充网袋椎体成形术治疗骨质疏松压缩性骨折临床研究分析  

Clinical analysis of mesh bag vertebroplasty in treatment of osteoporotic compression fracture

作　　者：林学扬[1] 朱智奇[1] 刘振华[2] 王德桂[1] 杨建华 饶海军 高梁斌[3] LIN Xue-yang;ZHU Zhi-qi;Liu Zhen-hua(Department of Spinal Surgery,The Longgang District Peoples Hospital,Shenzhen)

机构地区：[1]深圳市龙岗区人民医院脊柱外科,广东深圳518172 [2]南方医科大学珠江医院脊柱外科 [3]中山大学孙逸仙纪念医院骨科

出　　处：《中国伤残医学》2020年第14期1-3,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨填充网袋椎体成形术治疗骨质疏松椎体压缩性骨折的临床疗效.方法:筛选本院2017年5月-2019年5月收治的骨质疏松椎体压缩性骨折患者共82例作为研究对象,按随机数字表法分为对照组和观察组各41例.对照组患者接受球囊扩张椎体后凸成形术治疗;观察组患者接受填充网袋椎体成形术治疗.比较2组患者的疼痛程度、腰部功能、骨折愈合情况、手术时间以及骨水泥渗漏发生率.结果:术后3天,2组患者的疼痛视觉模拟评分(VAS)和Oswestry功能障碍指数问卷(ODI)评分以及矢状位脊柱后凸Cobb角明显降低,矢状位伤椎前缘高度显著升高(P<0.01);2组患者术后3天的VAS和ODI评分以及矢状位脊柱后凸Cobb角和矢状位伤椎前缘高度差异无统计学意义(P>0.05);观察组和对照组的手术完成时间分别为(31.93±5.28)分钟和(32.21±4.30)分钟,差异无统计学意义(P>0.05);观察组和对照组的骨水泥渗漏率分别为2.44%和19.51%,差异有统计学意义(x2=4.493,P<0.05).结论:填充网袋椎体成形术治疗骨质疏松椎体压缩性骨折能够缓解疼痛,改善腰部功能,利于骨折愈合,减少骨水泥渗漏,值得临床推广应用.Objective:To investigate the efficacy of mesh bag-filled vertebroplasty in treating osteoporotic vertebral compression fracture.Methods:Eighty-two osteoporotic vertebral compression fracture patients admitted by the hospital from May 2017 to May 2019 were selected as research objects and divided into control group and observation group by random number table method.Patients in the control group received balloon dilated kyphoplasty.Patients in the observation group were treated with mesh bag vertebroplasty.Hie pain degree,lumbar function,fracture healing,operation time,and incidence of bone cement leakage were compared between the two groups.Resu lts:3 days after surgery,the visual analogue scale(VAS)and Oswestry functional impairment index questionnaire(O D I)scores and the sagittal kyphosis Cobb Angle of the two groups of patients were significantly reduced,and the height of the sagittal injured vertebra front edge was significantly increased(P<0.01),there was no significant difference in VAS and ODI scores,sagittal kyphosis Cobb Angle,and sagittal injured vertebral anterior edge height between the two groups(P>0.05).The operative completion time of observation group and control group was(31.93±5.28)min and(32.21±4.30)min,respectively,with no statistically significant di£ference(P>0.05).The bone cement leakage rates of the observation group and control group were 2.44%and 19.51%,respectively,with statistically significant differences(P<0.05).Conclusion:Mesh bag-filled vertebroplasty in treating osteoporotic vertebral compression fracture could relieve pain,improve lumbar function,facilitate fracture healing,reduce bone cement leakage,,and was worthy of clinical application.

关 键 词：骨质疏松 压缩骨折 填充网袋椎体成形术 疼痛 

分 类 号：R683.2[医药卫生—骨科学]