单侧经皮穿刺椎体成形术对骨质疏松性脊柱骨折患者的治疗效果分析  

Effect Analysis of Unilateral Percutaneous Vertebroplasty in Patients with Osteoporotic Spinal Fracture

作　　者：王进安 WANG Jin’an(Department of Spinal Orthopedic,Anqiu People’s Hospital,Weifang 261000,China)

机构地区：[1]山东省安丘市人民医院脊柱骨科,山东潍坊261000

出　　处：《中国伤残医学》2025年第1期62-66,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨单侧穿刺经皮椎体成形术(PVP)治疗骨质疏松性脊柱骨折患者的效果。方法:选取2022年5月—2024年5月安丘市人民医院收治的100例骨质疏松性脊柱骨折患者为研究对象,按随机数字表法将其分为对照组与研究组,各50例。对照组行双侧穿刺入路PVP治疗,研究组行单侧穿刺入路PVP治疗。比较两组围手术期指标、脊柱功能、疼痛程度、椎体恢复情况、生活质量及并发症发生情况。结果:两组住院时间对比,差异无统计学意义(P>0.05);研究组手术时间为(42.25±4.39)min,短于对照组的(54.36±5.27)min,骨水泥注入量、术中出血量、术中透视次数分别为(4.32±0.49)mL、(6.52±1.14)mL、(13.14±1.29)次,少于对照组的(5.61±0.84)mL、(8.98±1.17)mL、(18.96±1.45)次,差异均有统计学意义(P<0.05)。术后1d,研究组疼痛视觉模拟法评分低于对照组,差异有统计学意义(P<0.05)。术后3个月,两组Oswsetry功能障碍指数评分、椎体后凸Cobb角、椎体前缘高度、椎体中部高度对比,差异均无统计学意义(P>0.05)。术后3个月,研究组世界卫生组织生活质量简易量表中各个维度评分均较对照组高,差异均有统计学意义(P<0.05)。研究组并发症发生率为4.00%,低于对照组的18.00%,差异有统计学意义(P<0.05)。结论:相比较于双侧穿刺入路PVP,采用单侧穿刺入路PVP治疗骨质疏松性脊柱骨折患者有利于促进其椎体功能、脊柱功能恢复,缩短手术时间,减少骨水泥注入量、术中出血量、术中透视次数,缓解术后疼痛程度,提高术后生活质量。Objective:To investigate the effect of unilateral percutaneous vertebroplasty(PVP)in the treatment of patients with osteoporotic spinal fractures of the spine.Methods:A total of 100 patients with osteoporotic spinal fracture admitted to Anqiu People’s Hospital from May 2022 to May 2024 were selected as the study objects,and were divided into a control group and a study group according to random number table method,with 50 cases in each group.The control group received bilateral puncture approach PVP treatment,and the study group received unilateral puncture approach PVP treatment.Perioperative indexes,spinal function,pain degree,vertebral recovery,quality of life and occurrence of complications were compared between the two groups.Results:There was no significant difference in hospital stay between the two groups(P>0.05).The operative time of the study group was(42.25±4.39)min,which was shorter than(54.36±5.27)min of the control group,the amount of bone cement injection,intraoperative blood loss and intraoperative fluoroscopy times were(4.32±0.49)mL,(6.52±1.14)mL and(13.14±1.29)times,it was less than(5.61±0.84)mL,(8.98±1.17)mL,(18.96±1.45)times of the control group,the differences were statistically significant(P<0.05).On the first day after surgery,the Pain Visual Analogue Scale score of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).Three months after surgery,there were no significant differences in Oswsetry Disability Index score,kyphotic Cobb Angle,anterior vertebral border height and middle vertebral height between the two groups(P>0.05).Three months after surgery,all dimensions the of World Health Organization Quality of Life score of the study group were higher than those of the control group,and the difference were statistically significant(P<0.05).The incidence of complications in the study group was 4.00%,which was lower than 18.00%t in the control group,the difference was statistically significant(P<0.05).Conclusion:Compared w

关 键 词：骨质疏松性脊柱骨折 经皮椎体成形术 单侧穿刺 双侧穿刺 脊柱功能 

分 类 号：R687.3[医药卫生—骨科学]