经皮单侧椎体后凸成形术治疗骨质疏松型胸腰椎爆裂性骨折的临床效果分析  

Clinical Analysis of Percutaneous Unilateral Kyphoplasty for the Treatment of Osteoporotic Thoracolumbar Burst Fractures

作　　者：陈永杰[1] 谭伦[2] 张红 庆翁贞 焦胜[1] 罗显红 吴明鑫 彭育超 邱进彪 CHEN Yongjie;TAN Lun;ZHANG Hong;QING Wengzhen;JIAO Sheng;LUO Xianhong;WU Mingxin;PENG Yuchao;QIU Jinbiao(Department of orthopedics,Rongxian people's hospital,Zigong,Sichuan 643100;Zigong fourth people's hospital)

机构地区：[1]荣县人民医院骨科,四川自贡643100 [2]自贡市第四人民医院

出　　处：《中国伤残医学》2024年第8期79-82,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨经皮椎体后凸成形术(PKP)治疗骨质疏松型胸腰椎爆裂性骨折的临床效果及影响因素.方法:选取我院2021年4月—2023年4月收治的92例骨质疏松型胸腰椎爆裂性骨折患者为研究对象,均行PKP治疗,根据疗效分为有效组(n=78),无效组(n=14).对PKP治疗效果进行单因素和多因素分析.结果:治疗结束后,92例患者中治疗有效者78例(84.78%),无效者14例(15.22%).有效组与无效组骨水泥用量、手术穿刺方法、术前骨密度值、椎体骨折数比较,差异均有统计学意义(P<0.05).骨水泥用量过多、单侧穿刺手法、术前低骨密度值、多椎体骨折数均是PKP治疗骨质疏松型胸腰椎爆裂性骨折的影响因素(P<0.05).结论:PKP治疗骨质疏松型胸腰椎爆裂性骨折效果良好,骨水泥用量、手术穿刺方法、术前骨密度值、椎体骨折数均会影响PKP术后疗效,临床可针对上述情况给予防治措施,提高手术效果.Objective:To investigate the clinical effect and influencing factors of percutaneous kyphoplasty(PKP)in the treatment of osteoporotic thoracolumbar burst fracture.Methods:92 patients with osteoporotic thoracolumbar burst fractures admitted to our hospital from April 2021 to April 2023 were selected as the research objects,all of them underwent PKP treatment.They were divided into an effective group(n=78)and an ineffective group(n=14)based on the efficacy of PKP surgery.The effect of PKP was analyzed by univariate and multifactorial analysis.Results:After the end of treatment,among the 92 patients,78(84.78%)were effective in treatment and 14(15.22%)were ineffective.There were statistically significant differences in the amount of bone cement,surgical puncture method,preoperative bone density,and number of vertebral fractures between the effective and ineffective groups(P<0.05).Excessive use of bone cement,unilateral puncture techniques,preoperative low bone density values,and the number of multiple vertebral fractures are all risk factors that affect the efficacy of PKP in treating thoracolumbar influence fractures,with osteoporosis(P<0.05).Conclusion:PKP is effective in the treatment of osteoporotic thoracolumbar burst fracture.The amount of bone cement used,surgical puncture method,preoperative bone density value,and number of vertebral fractures can all affect the postoperative efficacy of PKP.Clinical prevention and treatment measures can be taken to improve the surgical efficacy.

关 键 词：骨质疏松 胸腰椎爆裂性骨折 经皮单侧椎体后凸成形术 临床疗效 影响因素 

分 类 号：R687.3[医药卫生—骨科学]