经皮椎体成形术单侧椎弓根穿刺入路治疗 骨质疏松性椎体压缩性骨折的临床研究  

Clinical Study of Percutaneous Vertebroplasty with Unilateral Pedicle Puncture for the Treatment of Osteoporotic Vertebral Compression Frac⁃tures

作　　者：汤华勇 TANG Huayong(Department of Surgery,Section Two(Orthopedics),the Third People's Hospital of Xintai,Tai'an 271212,Shandong,China)

机构地区：[1]山东省新泰市第三人民医院外二科(骨科),山东泰安271212

出　　处：《系统医学》2024年第20期97-100,共4页Systems Medicine

摘　　要：目的探讨经皮椎体成形术(percutaneous vertebro plasty,PVP)单侧椎弓根穿刺入路治疗骨质疏松性椎体压缩性骨折(osteoporotic vertebral compression fracture,OVCF)的效果。方法非随机选取2022年1月—2023年1月在新泰市第三人民医院接受PVP治疗的76例OVCF患者。按PVP穿刺入路方式不同分成单侧入路组(单侧椎弓根穿刺入路,41例)和双侧入路组(双侧椎弓根穿刺入路,35例),比较两组手术相关指标和随访情况。结果单侧入路组手术时间为(26.40±3.71)min、X线曝光次数为(14.05±3.16)次、骨水泥注入量为(3.96±0.70)mL,均少于双侧入路组的(35.12±4.83)min、(20.34±3.92)次、(5.10±0.81)mL,差异有统计学意义(t=8.892、7.744、6.583,P均<0.05)。两组骨水泥渗漏、邻近椎体再骨折发生率比较,差异无统计学意义(P均>0.05)。两组术后椎体高度、Cobb角和Oswestry功能障碍指数评分均较术前改善,差异有统计学意义(P均<0.05),但组间比较,差异无统计学意义(P均>0.05)。结论PVP采用单侧椎弓根穿刺入路治疗OVCF效果显著,并不增加骨水泥渗漏和邻近椎体再骨折风险。Objective To investigate the effect of Percutaneous vertebro plasty(PVP)unilateral pedicle puncture on Osteoporotic vertebral compression fracture(OVCF).Methods A total of seventy-six patients with OVCF who re-ceived PVP treatment in Xintai Third People's Hospital from January 2022 to January 2023 and were non-randomly selected.They were divided into unilateral approach group(unilateral pedicle puncture approach,forty-one cases)and bilateral approach group(bilateral pedicle puncture approach,thirty-five cases)according to the PVP puncture ap-proach methods,and the relevant indexes of surgery and follow-up were compared between the two groups.Results The operation time,X-ray exposure times and bone cement injection volume in the unilateral approach group were(26.40±3.71)min,(14.05±3.16)times and(3.96±0.70)mL,which were less than(35.12±4.83)min,(20.34±3.92)times and(5.10±0.81)mL in the bilateral approach group,and the differences were statistically significant(t=8.892,7.744,6.583,all P<0.05).There were no statistically significant differences in the incidence of bone cement leakage and re-fracture of adjacent vertebrae between the two groups(both P>0.05).The vertebral height,Cobb Angle and Oswestry Disability Index score of the two groups were improved after surgery,the differences were statistically significant(all P<0.05),but there was no statistically significant difference between the two groups(both P>0.05).Conclusions PVP was effective in the treatment of OVCF by unilateral pedicle puncture without increasing the risk of bone cement leak-age and refracture of adjacent vertebrae.

关 键 词：骨质疏松性椎体压缩性骨折 经皮椎体成形术 穿刺入路 骨水泥 

分 类 号：R687[医药卫生—骨科学]