单、双侧入路PVP对老年胸腰椎骨折患者功能恢复及再发骨折的临床观察  

Clinical observation of single and bilateral approach PVP on functional recovery and recurrent fracture in elderly patients with thoracolumbar fractures

作　　者：黄福兵 Huang Fu-bing(Department of Orthopedics,Poyang People's Hospital,Poyang 333100,Jiangxi,China)

机构地区：[1]鄱阳县人民医院骨科,江西鄱阳333100

出　　处：《四川生理科学杂志》2025年第2期450-452,共3页

摘　　要：目的:探究单、双侧入路经皮椎体成形术(PVP)对老年胸腰椎骨折功能恢复及再发骨折的临床观察。方法:回顾性分析病例资料选自我院2022年1月~2023年12月收治的58例老年胸腰椎骨折患者,根据手术方式分为单侧组和双侧组,将行单侧入路PVP术的30例患者纳入单侧组,将行双侧入路PVP术的28例患者纳入双侧组,观察两组患者手术情况、术后椎体功能情况和并发症发生情况。结果:单侧组患者相较双侧组患者在手术时间、术中出血量和术中X线曝光次数上明显更少,差异具有显著性(P<0.05);两组患者术后3m相较术前在椎体前缘高度上明显升高(P<0.05),且单侧组显著高于双侧组(P<0.05);两组患者术后3m相较术前在Cobb角和Oswestry功能障碍指数(ODI)评分上明显降低(P<0.05),且单侧组相较双侧组上述指标明显更低,差异具有显著性(P<0.05);单侧组与双侧组随访期内术后并发症总发生率比较无显著差异(P>0.05)。结论:行单侧入路PVP术相较双侧入路PVP术应用于老年胸腰椎患者可有效缩短手术时间,减少术中出血量,加快椎体功能恢复,且再发骨折率少,值得临床推广应用。Objective:To explore the clinical observation of percutaneous vertebroplasty(PVP)via single approach or bilateral approach on functional recovery and recurrent fracture in elderly patients with thoracolumbar fractures.Methods:Retrospective analysis was performed on case data of 58 elderly patients with thoracolumbar fractures in the hospital from January 2022 to December 2023.According to the surgical methods,they were divided into unilateral group and bilateral group.30 patients who underwent PVP via unilateral approach were included in unilateral group,and 28 patients receiving PVP via bilateral approach were enrolled as bilateral group.The surgical conditions,postoperative vertebral function status and occurrence of complications were observed in both groups.Results:Compared with bilateral group,the surgical time,intraoperative blood loss and intraoperative X-ray exposure frequency were significantly shorter or less in unilateral group(P<0.05).The anterior vertebral height in both groups at 3 months after surgery was significantly risen than that before surgery(P<0.05),and the height in unilateral group was significantly higher than that in bilateral group(P<0.05).At 3 months after surgery,the Cobb angle and ODI score were reduced significantly in both groups compared with those before surgery(P<0.05),and the above indicators were significantly lower in unilateral group than those in bilateral group(P<0.05).There was no significant difference in the total incidence rate of postoperative complications between unilateral group and bilateral group during follow-up(P>0.05).Conclusion:Compared with bilateral approach PVP,unilateral approach PVP can more effectively shorten the surgical time,reduce the intraoperative blood loss,and accelerate the recovery of vertebral function in elderly patients with thoracolumbar fractures,and it has low recurrent fracture rate.

关 键 词：单侧入路 双侧入路 经皮椎体成形术 老年胸腰椎骨折 功能恢复 

分 类 号：R687.3[医药卫生—骨科学]