体位辅助椎体成形术治疗创伤后椎体缺血骨坏死12例  

12 Cases Clinical Study on Clinical Analysis of Vertebroplasty on the Treatment of Kummell’s Disease with Postural Assistance

作　　者：梅红军 刘洋 王彩明 焦博 MEI Hongjun;LIU Yang;WANG Caiming;JIAO Bo(The Fifth Hospital of Wuhan,Wuhan 430050,China)

机构地区：[1]武汉市第五医院,武汉430050

出　　处：《中国中医骨伤科杂志》2022年第4期67-71,共5页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：武汉市卫生健康委2020医学科研项目(WX20Z17)。

摘　　要：目的:分析体位复位辅助下经皮椎体成形术治疗创伤后椎体缺血性骨坏死的临床疗效。方法:选取符合创伤后椎体缺血性骨坏死诊断的患者共12例,行局部麻醉下体位复位辅助的经皮椎体成形术,采用日常生活能力评分(ADLS)、视觉模拟评分(VAS)和椎体前缘高度(Hav)作为评价指标,在术前、术后第3天及末次回访(术后1个月)进行临床疗效评定。结果:与术前情况比较,术后第3天及末次回访(术后1个月)的ADLS、VAS和Hav差异有统计学意义(P<0.01),且末次回访时情况与术后第3天比较,ADLS差异有统计学意义(P<0.01),VAS差异有统计学意义(P<0.05)。结论:通过体位复位能使病椎充分张开,增加创伤后椎体缺血性骨坏死椎体前缘高度,结合椎体成形术能够明显改善患者日常生活自理能力,疼痛缓解明显,具有良好临床疗效。Objective:To analyze the clinical efficacy of percutaneous vertebroplasty assisted by intraoperative postural reduction on the treatment of Kummell’s disease.Methods:12 patients with the diagnosis of Kummell’s disease were selected and treated with percutaneous vertebroplasty assisted by postural reduction under local anesthesia.The activities of daily living scores(ADLS),the visual analogue scale(VAS) and the height of the anterior vertebra(Hav) as evaluation indicators were used to evaluate the clinical efficacy before surgery,at the third day after surgery and the last follow-up(outpatient review for 1 month after surgery).Results:Compared with the pre-operative situation,the differences in the activities of daily living scores,the visual analogue scale and the height of the anterior vertebra at the third postoperative day and the last follow-up visit were extremely significant(P<0.01).Compared with the third postoperative day,the difference in the activities of daily living scores was extremely significant(P<0.01),but the difference in the visual analogue scale has significant significance(P<0.05).Conclusion:Percutaneous vertebroplasty can significantly improve the activities of daily living,relieve the subjective pain and increase the height of the anterior edge of the vertebral body combining with position reduction,which can fully open the diseased vertebra to increase the height of the anterior edge of the vertebral body,showing a good clinical efficacy on the Kummell’s disease.

关 键 词：创伤后椎体缺血性骨坏死 椎体成型术 骨质疏松症 体位复位 临床疗效 

分 类 号：R681.5[医药卫生—骨科学]