单侧与双侧经皮穿刺椎体成形术在骨质疏松型椎体压缩性骨折患者中的应用价值  

Application Value of Unilateral and Bilateral Percutaneous Vertebroplasty in Patients with Osteoporotic Vertebral Compression Fractures

作　　者：刘亮 李栋 王栋 刘凯 张庆 LIU Liang;LI Dong;WANG Dong;LIU Kai;ZHANG Qing(Department of orthopedics,the third ward of Zibo municipal hospital,Zibo Shandong 255400)

机构地区：[1]淄博市市立医院骨科三病区,山东淄博255400

出　　处：《中国伤残医学》2024年第8期50-52,57,共4页Chinese Journal of Trauma and Disability Medicine

基　　金：卫生部医药卫生科技发展研究项目(W2013ZT053);北京医学奖励基金会科研项目(YXJL-2019-0688-0038)。

摘　　要：目的:探讨单侧与双侧经皮穿刺椎体成形术在骨质疏松型椎体压缩性骨折患者中的应用价值.方法:选取该院2021年3月—2023年1月收治的100例骨质疏松型椎体压缩性骨折患者为研究对象,按随机数字表法将其分为对照组与观察组,各50例.对照组采用双侧经皮穿刺椎体成形术,观察组采用单侧经皮穿刺椎体成形术.对比2组临床疗效、术中指标、腰椎功能障碍、疼痛程度及骨代谢水平.结果:2组临床疗效对比,差异无统计学意义(P>0.05).观察组手术时长短于对照组,骨水泥注入量少于对照组,术中透视次数小于对照组,组间差异有统计学意义(P<0.05).治疗后,2组功能障碍、视觉模拟评分均较治疗前降低,且观察组低于对照组,差异有统计学意义(P<0.05).2组骨代谢水平的各个维度指标对比,组间差异无统计学意义(P>0.05).结论:骨质疏松型椎体压缩性骨折患者行经皮椎体成形术,采用单侧或双侧椎弓根穿刺注入骨水泥均可对椎体起到支撑作用且不影响骨代谢指标,但单侧经皮穿刺椎体成形术较双侧穿刺手术效率更高,对功能及疼痛的改善更理想.Objective:To investigate the application value of unilateral and bilateral percutaneous vertebroplasty in patients with osteoporotic vertebral compression fractures.Methods:100 patients with osteoporotic vertebral compression fracture treated in our hospital from March 2021 to January 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 50 cases in each group.The control group underwent bilateral percutaneous puncture vertebroplasty,and the observation group underwent unilateral percutaneous puncture vertebroplasty.The clinical efficacy and intraoperative indexes,lumbar dysfunction,pain degree and bone metabolism level were compared between the two groups.Results:There was no significant difference in clinical efficacy between the two groups(P>0.05).The length of operation in the observation group was shorter than that in the control group,the amount of bone cement injection and the number of intraoperative fluoroscopy were smaller than those in the control group,and the differences between the two groups were statistically significant(P<0.05).After treatment,the dysfunction and visual analog scores of 2 groups were lower than those before treatment,and the observation group was lower than the control group,the differences were statistically significant(P<0.05).There was no significant difference in all dimensions of bone metabolism between the two groups(P>0.05).Conclusion:For patients with osteoporotic vertebral compression fractures,unilateral or bilateral pedicle puncture with bone cement can support the vertebral body without affecting bone metabolism indexes.However,unilateral percutaneous vertebroplasty is more efficient than bilateral puncture and can improve function and pain more ideal.

关 键 词：骨质疏松 椎体压缩性骨折 单侧经皮穿刺椎体成形术 双侧经皮穿刺椎体成形术 

分 类 号：R687.3[医药卫生—骨科学]