骨填充网袋技术在骨质疏松性椎体压缩性骨折中的应用  

Application of bone filling mesh container in osteoporotic vertebral compression fracture

作　　者：柯荣军 朱骏 刘红飞 宦诚 于中华 孟祥宇 KE Rongjun;Zhu Jun;LIU Hongfei;HUAN Cheng;YU Zhonghua;MENG Xiangyu(Orthopedics Department of Zhenjiang Integrated Traditional Chinese and Western Medicine Hospital,Zhenjiang 212000)

机构地区：[1]镇江市中西医结合医院骨科,镇江212000

出　　处：《颈腰痛杂志》2025年第1期150-153,共4页The Journal of Cervicodynia and Lumbodynia

摘　　要：目的探讨骨填充网袋技术治疗骨质疏松性椎体压缩性骨折(OVCF)的安全性和有效性。方法回顾性分析2018年3月至2020年9月采用骨填充网袋技术治疗61例OVCF患者的资料。手术前及末次随访分别采用视觉模拟评分(VAS)评估患者胸腰背部疼痛程度。术前和末次随访进行CT检查,测量病椎压缩部位的最低点高度和椎体前缘高度,并计算高度比值。结果61例均顺利完成手术并获得完整随访,平均(21.59±7.21)个月。每个椎体手术时间为(23.0±10.5)min。除1例患者(1.64%)出现骨水泥渗漏外,无其他并发症发生。末次随访的VAS评分较术前明显改善,差异有统计学意义(P<0.01)。末次随访时,病椎压缩最低点高度和高度比值均较术前明显改善,差异有统计学意义(P<0.01)。结论骨填充网袋技术治疗OVCF安全、有效,值得临床推广。Objective To investigate the safety and efficacy of bone filling mesh container in the treatment of osteoporotic vertebral compression fracture(OVCF).Methods The medical records of 61 patients with OVCF treated by bone filling mesh container technology from March 2018 to September 2020 were analyzed retrospectively.Visual analogue scale(VAS)was used to evaluate the degree of pain before operation and at the last follow-up.Before the operation and the last follow-up,CT examination was performed to measure the height of the lowest point of the compression of the diseased vertebrae and the height of the anterior edge of the vertebral body,and calculate the height ratio.Results All 61 cases completed the operation successfully and received complete follow-up,with an average of(21.59±7.21)months.The operation time of each vertebral body was(23.0±10.5)min.The operation time for each vertebral body was(23.0±10.5)min.Except for 1 patient(1.64%)with bone cement leakage,no other complications occurred.VAS score in the last follow-up were significantly improved compared with those before operation(P<0.01).At the last follow-up,the height of the lowest point of the diseased vertebral compression and the height ratio were significantly improved compared with those before the operation,and the difference was statistically significant(P<0.01).Conclusion Bone filling mesh container technique is safe and effective in the treatment of OVCF,which is worthy of clinical promotion.

关 键 词：骨填充网袋 椎体成形术 骨质疏松症 骨质疏松性椎体压缩性骨折 

分 类 号：R681.553.1[医药卫生—骨科学]