侧开口套管椎体成形术治疗骨质疏松性椎体压缩骨折  

Side-opening cannula vertebroplasty for osteoporotic vertebral compression fractures

作　　者：张宁宁 徐玉生[1] 徐远志 李星晨[1] 黄泓翰 苗金红[1] 王培松[1] 刘少林 ZHANG Ningning;XU Yusheng;XU Yuanzhi;LI Xingchen;HUANG Honghan;MIAO Jinhong;WANG Peisong;LIU Shaolin(The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;不详)

机构地区：[1]郑州大学第一附属医院,郑州450052 [2]郑州大学,郑州450001

出　　处：《实用医学杂志》2021年第7期889-893,共5页The Journal of Practical Medicine

基　　金：河南省高等学校重点科研项目(编号:18A320010)。

摘　　要：目的探讨侧开口套管PVP治疗OVCFs的临床效果。方法回顾分析2018年1月至2020年1月我院收治的118例胸腰椎OVCF的临床资料,分为侧开口PVP组(SOC组)、单侧传统PVP组(uFOC组)和双侧传统PVP组(b FOC组)。比较三组骨水泥渗漏及分布、临床疗效及预后,进行统计学分析。结果骨水泥渗漏率SOC组较FOC组明显降低,骨水泥分布分数、术后6个月Cobb角改善率SOC组与bFOC组较uFOC组明显增加,再骨折发生率SOC组与b FOC组小于u FOC组,差异有统计学意义(P <0.05);术后3 dCobb角改善率、各时相点VAS、ODI三组间差异无统计学意义(P> 0.05)。结论侧开口套管PVP治疗OVCFs能获得满意的手术效果,且在改善骨水泥分布、降低渗漏率等方面有明显优势。Objective To investigate the effect of side-opening cannula(SOC)percutaneous vertebroplasty(PVP)in the treatment of osteoporotic vertebral compression fractures(OVCFs).Methods A retrospective analysis of the clinical data of 118 cases of thoracolumbar OVCF in our hospital from January 2018 to January 2020 was conducted.Patients were divided into SOC PVP group(SOC group),unilateral traditional PVP group(uFOC group)and bilateral traditional PVP group(bFOC group).Bone cement leakage and distribution,clinical efficacy and prognostic indicators in the three groups were compared and statistically analyzed.Results The bone cement leakage rate in the SOC group was lower than that in the FOC group.The bone cement distribution score and the improvement rate of Cobb angle 6 months after the surgery were higher in SOC group and bFOC group than those in uFOC group.The incidence of refracture in SOC group and bFOC group was lower than that in uFOC group and the difference was statistically significant(P<0.05).There was no significant difference in the improvement rate of Cobb angle 3 days after operation,VAS and ODI at each time point(P>0.05).Conclusion SOC PVP can achieve satisfactory surgical results for OVCFs and it has obvious advantages in improving bone cement distribution and reducing leakage rate.

关 键 词：骨质疏松 脊柱骨折 椎体成形术 骨水泥渗漏 

分 类 号：R683.2[医药卫生—骨科学]