个体化设计穿刺路径在PVP/PKP单侧穿刺技术中的应用  

Application of Individualized Puncture Path in PVP/PKP with Unilateral Puncture

作　　者：柏涛[1] 赵辉[1] 梁金 董谐 王国著[1] 纳强[1] Bai Tao;Zhao Hui;Liang Jin;Dong Xie;Wang Guozhu;Na Qiang(Department of Orthopeadics,The People's Hospital of Yuxi City,Yuxi,Yunnan 653100,China)

机构地区：[1]玉溪市人民医院骨外一科,云南玉溪653100

出　　处：《大理大学学报》2020年第10期64-68,共5页Journal of Dali University

摘　　要：目的:探讨个体化设计穿刺路径在经皮椎体成形术(percutaneous vertebroplasty,PVP)或经皮椎体后凸成形术(percutaneous kyphoplasty,PKP)单侧穿刺技术中的临床应用效果。方法:选取接受PVP或PKP采用单侧穿刺进行手术的骨质疏松性椎体压缩骨折(osteoporotic vertebral compression fractures,OVCF)患者97例作为研究总结对象,阐述依据术前个体化穿刺路径所实施的穿刺技术,观察穿刺结果、骨水泥弥散及评估术后疗效。结果:97例患者均按术前个体化设计获得成功穿刺,97例术后VAS评分、ODI评分、Cobb角均较术前明显改善,差异有统计学意义(P<0.05),术后3 d与术后3月指标比较差异无统计学意义(P>0.05)。结论:良好的工作套管置入位置是骨水泥弥散满意的前提,个体化设计穿刺路径在术中具体实施可获得令人满意的工作套管置入。Objective:To discuss the clinical effect of individualized puncture path in PVP or PKP with unilateral puncture.Methods:97 patients with osteoporotic vertebral compression fractures(OVCF)who underwent PVP or PKP surgery with unilateral puncture were selected as the research objects,and the puncture technique implemented according to the preoperative individualized puncture route was described so as to observe the puncture results,bone cement dispersion and evaluate postoperative efficacy.Results:The 97 patients were successfully punctured according to the preoperative individualized design.The 97 postoperative VAS score,ODI score,and Cobb angle were significantly improved compared with preoperatively.The differences were statistically significant(P<0.05).There was no statistically significant difference in indicators in the next 3 months(P>0.05).Conclusion:Good placement of working cannula is the premise of satisfactory of diffusion of bone cement,and the application of individualized puncture path can acquire good placement of working cannula.

关 键 词：个体化设计 穿刺路径 经皮椎体成形术 经皮椎体后凸成形术 单侧穿刺 

分 类 号：R683[医药卫生—骨科学]