[1]高延征,张广泉,邢帅,等.经皮椎体成形术与经皮椎体后凸成形术治疗老年 Kümmell 病的对比研究[J].中华老年骨科与康复电子杂志,2016,(03):136-140.[doi:10.3877/cma.j.issn.2096-0263.2016.03.002]
　Gao Yanzheng,Zhang Guangquan,Xing Shuai,et al.Comparative analysis of percutaneous vertebroplasty and percutaneous kyphoplastyon in the treatment of the elderly with Kümmell disease[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(03):136-140.[doi:10.3877/cma.j.issn.2096-0263.2016.03.002]
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经皮椎体成形术与经皮椎体后凸成形术治疗老年 Kümmell 病的对比研究()
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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2016年03期
页码:
136-140
栏目:
骨质疏松
出版日期:
2016-08-05

文章信息/Info

Title:
Comparative analysis of percutaneous vertebroplasty and percutaneous kyphoplastyon in the treatment of the elderly with Kümmell disease
作者:
高延征; 张广泉; 邢帅; 陈书连; 丁帅
450003 河南省人民医院骨科
Author(s):
Gao Yanzheng;  Zhang Guangquan;  Xing Shuai;  Chen Shulian;  Ding Shuai.
Department of Orthopedics, Henan Provincial People’s Hospital, Zhengzhou 450003, China
关键词:
老年人; 　椎体成形术; 　Kümmell 病
Keywords:
Aged;  Vertebroplasty;  Kümmell disease
DOI:
10.3877/cma.j.issn.2096-0263.2016.03.002
文献标志码:
A
摘要:
目的 对比分析经皮椎体成形术（PVP）与经皮椎体后凸成形术（PKP）治疗老年Ⅰ期和Ⅱ期 Kümmell 病的临床效果及安全性。 方法　回顾性收集 2005 年 10 月至 2013 年 2 月河南省人民医院收治的Ⅰ期和Ⅱ期 Kümmell 病患者 73 例，根据手术方式分为 PVP 组（n=38）和 PKP 组（n=35）。随访并比较两组患者术前、术后 1 d 及 12 个月伤椎前缘高度、疼痛视觉模拟评分（VAS）及 Oswestry 功能障碍指数（ODI）的变化及术后并发症发生情况。 结果 73 例患者均获完整随访，随访时间 12 ～ 42 个月。 PVP 组 [（35±4） min] 患者的手术时间少于 PKP 组 [（38±4） min]，差异有统计学意义（t=0.569， P ＜ 0.01）。 PKP 与 PVP 组患者在术前、术后 1 d 和 12 个月的伤椎椎体前缘高度、 VAS 评分和 ODI 评分差异均无统计学意义；两组患者的伤椎椎体前缘高度、 VAS 评分、 ODI 评分在术后 1 d、术后 12 个月均得到改善，差异均有统计学意义 [PVP 组（F=190.505， F=953.931， F=356.254， P ＜ 0.05）； PKP 组（F=285.426， F=535.618， F=359.077， P ＜ 0.05） ]，术后 12 个月与术后 1 d 相比差异无统计学意义。术中注射骨水泥时 PVP 组 5 例（13.2%）和 PKP 组 8 例（22.9%）出现骨水泥椎旁渗漏，两组相比差异无统计学意义。 结论　对于Ⅰ期和Ⅱ期 Kümmell 病的治疗， PKP 与 PVP 均可达到良好的止痛、功能改善效果，伤椎高度得到一定回复，且骨水泥渗漏等并发症发生率较低，安全性较高。
Abstract:
Objective To compare the clinical effcacy and safety of percutaneous vertebroplasty (PVP) and percutaneousky phoplasty (PKP) in the treatment of aged Kümmell disease in I or II stage. Methods From October 2005 to February 2013, 73 aged patients suffering Kümmell disease (I or II stage) were admitted to our hospital. These patients were divided into PVP group (n=38) and PKP group (n=35). The anterior height of vertebrae fractured, visal analogue scale (VAS) and Oswestry disability index (ODI) were documented on one day before and after operation, and 12 months after operations. The complications were recorded as well. Results Seventy-three patients were all followed-up (12-42months). Operation time of PKP group [(35±4) min] was less than PVP group [(38±4) min], and the difference was statistically significant (t=0.569, P<0.01). Between PVP group and PKP group, there was no statistically significant differences in the anterior vertebral height, VAS and ODI score assessed at 1 day before operation, 1 day after operation and 12 months later (P>0.05); To these two groups, the anterior vertebral height, VAS and ODI score were improved at 1day after operation and 12months later, compared with before opration. There was no signifcant difference between 12 months postoperative and 1 day after opration (P>0.05). During bone cement injection process, paravertebral leakage of bone cement occurred in 5 cases of PVP group (13.2%) and 8 cases of PKP group (22.9%), the difference was not signifcantly (χ2=1.171, P>0.05). Conclusion Both PVP and PKP were effective for patients with Kümmell disease in I or II stage, they were effective in pain relief, function improvement and deformity correction with low complication incidence.

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备注/Memo

备注/Memo:
基金项目：河南省科技创新杰出人才计划项目（154200510028）
更新日期/Last Update: 2017-04-01