斜面穿刺针靶向穿刺在治疗胸腰椎骨质疏松性压缩性骨折中的应用价值  

Application value of bevel needle targeted puncture in the treatment of t horacolumbar osteoporotic compression fracture

作　　者：何荣龙 黄海翔 邹信明 HE Ronglong;HUANG Haixiang;ZOU Xinming(Department of Orthopedics,Yangchun Hospital of Traditional Chinese Medi cine,Yangjiang 529566)

机构地区：[1]阳春市中医院骨三科,广东阳江529566

出　　处：《当代医药论丛》2022年第9期53-56,共4页

基　　金：阳江市科技计划项目(编号:SF2020172)。

摘　　要：目的:分析斜面穿刺针靶向穿刺在治疗胸腰椎骨质疏松性压缩性骨折中的应用价值。方法:选取阳春市中医院2020年5月至2021年12月收治的100例胸腰椎骨质疏松性压缩性骨折患者为研究对象。采用随机数表法将其分为对照组与观察组(50例/组)。对两组患者均进行经皮椎体成形术。在术中,对对照组患者的椎弓根进行直开口穿刺针穿刺,对观察组患者的椎弓根进行斜面穿刺针靶向穿刺。然后对比两组患者的治疗效果。结果:观察组患者的手术时间短于对照组患者,其术中的出血量和骨水泥的注入量均少于对照组患者,差异有统计学意义(P<0.05)。在术后1周、术后3个月,两组患者的VAS评分、Oswestry评分均低于术前,其伤椎的相对高度均大于术前,其Cobb角均小于术前,差异有统计学意义(P<0.05)。在术后1周、术后3个月,观察组患者的VAS评分、Oswestry评分均低于对照组患者,其伤椎的相对高度均大于对照组患者,其Cobb角均小于对照组患者,差异有统计学意义(P<0.05)。观察组患者术后3个月内骨水泥渗漏的发生率低于对照组患者,差异有统计学意义(P<0.05)。结论:斜面穿刺针靶向穿刺在治疗胸腰椎骨质疏松性压缩性骨折中的应用价值较高。Objective:To analyze the application value of bevel needle targeted puncture in the treatment of thoracolumbar osteoporotic compression fracture.Methods:A total of 100 pat ients with thoracolumbar osteoporotic compression fractures admitted to Yangchun Hospital of Traditional Chinese Medicine from May 2020 to December 2021 were selected as the research objects.They were divided into control group and observation group(50 cases/group)by random number table method.Percutaneous vertebroplasty was performed in both groups.During the operation,the pedicle of patients in the control group was punctured with straight open puncture needle,and the pedicle of patients in the observation group was punctured with oblique puncture needle targeting.Then the treatment effect of the two groups was compared.Results:The operation time of the observation group was shorter than that of the control group,and the am ount of intraoperative blood loss and bone cement injection was less than that of the control group,with statistical significance(P<0.05).At 1 week and 3 months after surgery,VAS score and Oswestry score in 2 groups were lower than those before surgery,the relative height of injured vertebrae was higher than that before surgery,and the Cobb Angle was lower than that before surgery,with statistically significant differences(P<0.05).At 1 week and 3 months after surgery,the VAS score and Oswestry score of the observation group were lower than those of the control group,the relative height of the injured vertebrae was higher than that of the control group,and the Cobb Angle was lower than that of the control group,with statistically significant differences(P<0.05).The incidence of bone cement leakage in the obs ervation group was lower than that in the control group within 3 months after surgery,the difference was statistically significant(P<0.05).Conclusion:Oblique needle targeted puncture has high application value in the trea tment of thoracolumbar osteoporotic compression fracture.

关 键 词：胸腰椎骨质疏松性压缩性骨折 斜面穿刺针靶向穿刺 Oswestry评分 

分 类 号：R683[医药卫生—骨科学]