经皮椎体成形联合靶点定位穿刺技术治疗Kummell病临床疗效观察  

Observation on the Clinical Efficacy of Percutaneous Vertebroplasty Combined with Target Positioning Puncture Technique in the Treatment of Kummell’s Disease

作　　者：麦敏军[1] 黄尚君 莫龙飞 古波[1] 叶汝忠 陈德霖 秦广业 

机构地区：[1]广西壮族自治区北海市中医医院,广西北海536000

出　　处：《大众科技》2023年第10期94-97,共4页Popular Science & Technology

基　　金：北海市科技计划项目(北科合202082050)。

摘　　要：目的:通过经皮椎体成形联合靶点定位穿刺技术并与传统椎体成形术治疗Kummell进行比较,探索一种手术并发症更少、治疗效果更好的治疗Kummell病方法。方法:回顾性分析2019年9月至2021年6月北海市中医医院骨科住院部收治的50例确诊为Kummell病患者的临床资料,其中经皮椎体成形联合靶点定位穿刺技术治疗组患者28例,传统椎体成形术试验组22例。测量椎体成形联合靶点定位穿刺治疗组与传统椎体成形术治疗组患者术前、术后2天、术后1个月、术后半年时疼痛视觉模拟评分(VAS评分)、Oswestry功能障碍指数(ODI)、椎体前缘高度比值及后凸Cobb角的变化并进行比较。结果:两组患者术前VAS评分、ODI指数、体前缘高度比值及后凸Cobb角的比较无明显差异(P>0.05),但两组术后VAS评分、ODI指数、体前缘高度比值及后凸Cobb角的变化均较术前明显改善,且治疗组改善效果更佳。术后2天、术后1个月、术后半年随访时两组间VAS评分、ODI指数、体前缘高度比值及后凸Cobb角差异有统计学意义(P<0.05)。结论:经皮椎体成形联合靶点定位穿刺技术并与传统椎体成形术治疗Kummell病均可取得满意效果,经皮椎体成形联合靶点定位穿刺技术在改善后凸畸形、恢复伤椎高度、避免骨水泥渗漏等方面较可能更具优势。Objective:To explore a method for treating Kummell's disease with fewer surgical complications and better curative effect by comparing percutaneous vertebroplasty combined with target positioning puncture technique with traditional vertebroplasty for Kummell.Methods:The clinical data of 50 patients with Kummell's disease admitted to the orthopaedic inpatient department of Beihai Hospital of Traditional Chinese Medicine from September 2019 to June 2021 were retrospectively analyzed.Among them,28 patients were in the percutaneous vertebroplasty combined with target positioning puncture technique treatment group,and 22 patients were treated with traditional vertebroplasty test group.The changes in pain visual analogue score(VAS score),Oswestry dysfunction index(ODI),anterior edge height ratio,and kyphotic Cobb angle between the vertebroplasty combined with targeted puncture treatment group and the traditional vertebroplasty treatment group before surgery,2 days after surgery,1 month after surgery,and 6 months after surgery were meaaured and compared.Results:There was no significant difference in VAS score,ODI index,anterior body height ratio and kyphotic Cobb angle between the two groups(P>0.05).However,postoperative VAS score,ODI index,anterior margin height ratio and kyphotic Cobb Angle between the two groups were significantly improved compared with preoperative changes,and the improvement effect of the treatment group was better.There were significant differences in VAS score,ODI index,anterior margin height ratio and kyphotic Cobb Angle between the two groups at postoperative follow-up 2 days,1 month and 6 months(P<0.05).Conclusion:Percutaneous vertebroplasty combined with target positioning puncture technique and traditional vertebroplasty can achieve satisfactory results in the treatment of Kummell's disease.Percutaneous vertebroplasty combined with targeted puncture technology may have more advantages in improving kyphosis,restoring injured vertebral height,and avoiding bone cement leakage.

关 键 词：Kummell病 靶点定位穿刺技术 推体成形术 

分 类 号：R68[医药卫生—骨科学]