经皮椎体成形术治疗骨质疏松性椎体压缩骨折102例临床观察  

Clinical observation of 102 cases of percutaneous vertebroplasty on osteoporotic vertebral compression fractures

作　　者：李广伟[1] 白忠旭[1] 赵文奎[2] Li Guangwei;Bai Zhongxu;Zhao Wenkui(Department of Orthopaedics and Traumatology,Zhengzhou Second Hospital,Zhengzhou 450000,China;Department of Pain,Peking University Third Hospital,Beijing 100191,China)

机构地区：[1]郑州市第二人民医院骨科创伤科,450000 [2]北京大学第三医院疼痛科,100191

出　　处：《中国实用医刊》2021年第9期28-31,共4页Chinese Journal of Practical Medicine

摘　　要：目的探讨经皮椎体成形术(PVP)治疗骨质疏松性椎体压缩性骨折(OVCF)的临床效果,分析手术并发症的原因及预防对策。方法回顾性分析2011年12月至2019年7月郑州市第二人民医院应用PVP治疗的102例(145椎)OVCF患者的手术效果,对比手术前后X线检查、视觉模拟评分法(VAS)评分、Oswestry功能障碍指数(ODI)、伤椎后凸角,并统计手术有效率。结果VAS评分由术前的(6.69±1.14)分将至术后3 d的(2.25±0.84)分,ODI由术前的(65.96±8.36)分降至术后的(28.6±6.67)分,差异有统计学意义(P<0.05)。术后1、6、12个月(或末次随访)的VAS评分与术后3 d时比较,差异有统计学意义(P<0.05)。治疗后1、6、12个月(或末次随访)的ODI均低于治疗前,差异有统计学意义(P<0.05)。伤椎后凸角亦低于术前,差异有统计学意义(P<0.05)。102患者术后完全缓解95例(93.14%),部分缓解5例(4.90%),总有效率为98.04%(100/102)。结论PVP成形术治疗老年患者OVCF安全有效。Objective To investigate the clinical effects of percutaneous vertebroplasty(PVP)in the treatment of osteoporotic vertebral compression fractures(OVCF),and to analyze the causes of surgical complications and preventive measures.Methods A total of 102 patients(145 vertebrae)with OVCF treated by PVP in Zhengzhou Second Hospital from December 2011 to July 2019 were retrospectively analyzed.Preoperative and postoperative X-ray examinations,visual analogue scale(VAS)score,Oswestry disability index(ODI),kyphosis angle of injured levels were compared.And the treatment efficiency was counted.Results The VAS score decreased from 6.69±1.14 preoperatively to 2.25±0.84 at 3 days after operation,and ODI decreased from 65.96±8.36 preoperatively to 28.6±6.67 postoperatively,and the difference was statistically significant(P<0.05).The 1-month,6-month,and 12-month(end of follow-up)postoperative VAS scores were significantly different from 3-d postoperative VAS score(P<0.05).The 1-month,6-month,and 12-month(end of follow-up)postoperative ODI values were lower than preoperative values(P<0.05).Kyphosis angle injured levels were also lower than those before treatment,and the difference was statistically significant(P<0.05).Among 102 patients,95 cases(93.14%)had complete remission,and 5 cases(4.90%)had partial remission,and the total effective rate was 98.04%(100/102).Conclusions PVP is a safe and effective treatment for elderly patients with OVCF.

关 键 词：骨质疏松症 椎体压缩骨折 经皮椎体成形术 并发症 

分 类 号：R687.3[医药卫生—骨科学]