骨质疏松性椎体压缩骨折患者术后腰背痛的影响因素分析  

Analysis of Influencing Factors of Residual Low Back Pain in Patients with Osteoporotic Vertebral Compression Fracture after Operation

作　　者：毛春桃 沈荣 Mao Chuntao;Shen Rong(Department of Orthopedics,Wuhan Orthopedic Hospital of Integrated Traditional and Western Medicine,Affiliated Hospital of Wuhan Institute of Physical Education,Wuhan 430060,China)

机构地区：[1]武汉中西医结合骨科医院[武汉体育学院附属医院]骨科,湖北武汉430060

出　　处：《巴楚医学》2024年第3期41-45,共5页Bachu Medical Journal

基　　金：武汉市医学科研项目(No:WX21Z51)。

摘　　要：目的:分析骨质疏松性椎体压缩骨折(OVCF)患者行经皮椎体成形术(PVP)后腰背痛的影响因素。方法:回顾性分析2021年4月—2023年4月就诊于武汉中西医结合骨科医院的157例OVCF患者,根据术后是否合并腰背痛,分为疼痛组(n=33)和非疼痛组(n=124)。采用单因素和多因素Logistic分析方法研究OVCF患者术后腰背痛的影响因素。结果:单因素分析结果显示,两组患者骨密度(BMD)、胸腰筋膜损伤、骨水泥渗漏、椎体裂隙征及自我能效感差异有统计学意义(均P<0.05)。多因素Logistic回归分析显示,BMD<-3.50 g/cm^(3)(OR=5.046,95%CI:1.869, 13.624)、存在椎体裂隙征(OR=6.764,95%CI:2.501, 18.289)、存在胸腰筋膜损伤(OR=2.935,95%CI:1.121, 7.687)、存在骨水泥渗漏(OR=3.289,95%CI:1.264, 8.559)及自我能效感低(OR=4.140,95%CI:1.499, 11.436)是影响OVCF患者术后腰背痛的独立危险因素(均P<0.05)。结论:患者的BMD<-3.50 g/cm^(3)、合并胸腰筋膜损伤、存在骨水泥渗漏及椎体裂隙征、自我能效感低是OVCF患者PVP术后腰背痛的独立影响因素。Objective:To analyze the influencing factors of low back pain after percutaneous vertebroplasty(PVP)in patients with osteoporotic vertebral compression fracture(OVCF).Methods:A total of 157 patients with OVCF who were treated in Wuhan Orthopedic Hospital of Integrated Chinese and Western Medicine from April 2021 to April 2023 were retrospectively analyzed.According to whether postoperative low back pain was existed,the patients were divided into pain group(n=33)and non-pain group(n=124).Univariate and multivariate Logistic analysis were used to study the influencing factors of postoperative low back pain in OVCF patients.Results:The results of univariate analysis showed that there were statistically significant differences in bone mineral density(BMD),thoracolumbar fascia injury,bone cement leakage,vertebral fissure signs and self-energy efficiency between the two groups(all P<0.05).Multivariate Logistic regression analysis showed that BMD<-3.50 g/cm^(3)(OR=5.046,95% CI:1.869,13.624),vertebral fissure(OR=6.764,95%CI:2.501,18.289),thoracolumbar fascia injury(OR=2.935,95%CI:1.121,7.687),bone cement leakage(OR=3.289,95%CI:1.264,8.559)and low sense of self-energy efficiency(OR=4.140,95%CI:1.499,11.436)were independent risk factors for postoperative low back pain in OVCF patients(all P<0.05).Conclusion:BMD<-3.50 g/cm^(3),complicated thoracolumbar fascia injury,bone cement leakage and vertebral fissure signs,and low sense of self-energy efficiency are independent influencing factors for low back pain in OVCF patients after PVP.

关 键 词：术后腰背痛 骨质疏松性椎体压缩性骨折 骨水泥渗漏 

分 类 号：R683.2[医药卫生—骨科学]