经皮椎体成形术治疗跳跃性多节段脊柱骨折的手术效果评价  

Evaluation of the surgical effect of percutaneous vertebroplasty in the treatment of multi-level noncontiguous spinal fractures

作　　者：杨勇 YANG Yong(Jinzhou Second Hospital,Jinzhou 121003,China)

机构地区：[1]锦州市第二医院,121003

出　　处：《中国现代药物应用》2021年第4期55-57,共3页Chinese Journal of Modern Drug Application

摘　　要：目的探讨经皮椎体成形术治疗跳跃性多节段脊柱骨折的手术效果。方法113例跳跃性多节段脊柱骨折患者,依据手术方式不同分为观察组(60例)与对照组(53例)。观察组行经皮椎体成形术治疗,对照组行常规手术治疗。比较两组术中出血量及住院时间,手术前后视觉模拟评分法(VAS)、日本矫形外科协会(JOA)评分。结果观察组术中出血量少于对照组,住院时间短于对照组,差异有统计学意义(P<0.05)。手术后,观察组VAS、JOA评分分别为(3.2±0.6)、(20.1±6.2)分,均优于对照组的(4.4±1.1)、(15.3±5.7)分,差异有统计学意义(P<0.05)。结论跳跃性多节段脊柱骨折患者应用经皮椎体成形术治疗,患者损伤小,术中出血量减少,住院时间缩短,较常规手术减轻患者疼痛,脊柱功能显著改善。Objective To discuss the surgical effect of percutaneous vertebroplasty in the treatment of multi-level noncontiguous spinal fractures.Methods A total of 113 patients with multi-level noncontiguous spinal fractures were divided into observation group(60 cases)and control group(53 cases).The observation group was treated with percutaneous vertebroplasty,and the control group was treated with conventional surgery.The intraoperative blood loss,hospitalization time,visual analogue scale(VAS)score and Japanese Orthopedic Association(JOA)score before and after surgery were compared between the two groups.Results The intraoperative blood loss of the observation group was less than that of the control group,and hospitalization time was shorter than that of the control group,and the difference was statistically significant(P<0.05).After surgery,the VAS and JOA score of the observation group were(3.2±0.6)and(20.1±6.2)points,which were all better than(4.4±1.1)and(15.3±5.7)points of the control group,and the difference was statistically significant(P<0.05).Conclusion Percutaneous vertebroplasty has the advantages of less injury,less intraoperative blood loss,shorter hospitalization time,less pain and better spinal function than conventional surgery in the treatment of multi-level noncontiguous spinal fractures.

关 键 词：经皮椎体成形术 多节段脊柱骨折 疼痛评分 

分 类 号：R687.3[医药卫生—骨科学]