[1]郝海虎,吴斗,朱剑,等.单双侧穿刺经皮椎体后凸成形术治疗骨质疏松性椎体压缩骨折的对比研究[J].中华老年骨科与康复电子杂志,2017,(06):321-326.[doi:10.3877/cma.j.issn.2096-0263.2017.06.001]
　Hao Haihu,Wu Dou,Zhu Jian,et al.Contrastive analysis of the unipedicular and bipedicular kyphoplasty in treatment of osteoporotic vertebral compression fracture[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(06):321-326.[doi:10.3877/cma.j.issn.2096-0263.2017.06.001]
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单双侧穿刺经皮椎体后凸成形术治疗骨质疏松性椎体压缩骨折的对比研究()
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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:
2017年06期
页码:
321-326
栏目:
论著
出版日期:
2017-11-27

文章信息/Info

Title:
Contrastive analysis of the unipedicular and bipedicular kyphoplasty in treatment of osteoporotic vertebral compression fracture
作者:
郝海虎; 吴斗; 朱剑; 贾祎佳; 耿亚会; 刘强
030032 太原，山西医学科学院 山西大医院骨科
Author(s):
Hao Haihu;  Wu Dou;  Zhu Jian;  Jia Yijia;  Geng Yahui;  Liu Qiang
Department of Orthopedics, Shanxi Dayi Hospital of Shanxi Academy of Medical Science, Taiyuan 030032, China
关键词:
椎体后凸成形术;  骨质疏松性骨折;  单侧椎弓根穿刺;  双侧椎弓根穿刺
Keywords:
Kyphoplasty;  Osteoporotic fractures;  Unipedicular;  Bipedicular
DOI:
10.3877/cma.j.issn.2096-0263.2017.06.001
文献标志码:
A
摘要:
目的 比较单、双侧椎弓根穿刺经皮球囊扩张椎体成形术（PKP）治疗骨质疏松性椎体压缩骨折的临床效果及安全性。方法 回顾性收集 2014年 1月至 2015年 6月山西医学科学院山西大医院收治的 PKP患者 82例，其中男性 35例（42.68%），女性 47例（57.32%），平均年龄（68±7）岁，单侧穿刺组 51例，双侧穿刺组 31例。随访并比较两组患者手术时间、骨水泥注入量及 X线透视次数，比较术前、术后 2 d、6个月及 1年时伤椎前缘高度、伤椎中部高度、疼痛视觉模拟评分（VAS）、Oswestry功能障碍指数（ODI）变化。结果 82例患者均获得完整随访，随访时间（13.2±1.2）个月，单侧组的手术时间、X线透视次数、骨水泥注入量明显低于双侧组，差异有统计学意义（t=9.782，t=23.097，t=5.049，P＜0.05）；两组患者 VAS、ODI评分较术前均明显降低，差异有统计学意义（F=779.477，F=465.976，P＜0.01），组间比较差异无统计学意义（F=0.310，F=0.699，P＞0.05）。两组术后伤椎前缘及中部高度较术前均明显增加，差异有统计学意义（F=74.955，F=27.330，P＜0.01）；组间比较差异无统计学意义（F=0.091，F=0.007， P＞0.05）。结论 单、双侧入路 PKP治疗骨质疏松性压缩骨折在疼痛缓解方面均取得满意疗效，但单侧治疗具有手术时间短、术中透视次数少且操作简单等优点。
Abstract:
Objective To compare the radiological and clinical results of unilateral and bilateral percutaneous kyphoplasty for treating osteoporotic vertebral compressive fractures. Methods A retrospective study was performed in 82 cases of osteoporotic vertebral compression fractures who undergone PKP from January 2014 to June 2015 in our hospital. There were 35 males (42.68%) and 47 females (57.32%), the average age was 68±7 years, all patients were classified into two groups, unilateral group (51 cases) was treated with a unilateral approach and bilateral group (31 cases) with a bilateral approach. The mean operative time, the mean X-ray exposure frequency and amount of bone cement were recorded. Preoperative and postoperative average vertebral body height, visual analog scale and Oswestry disability index scores were compared within each group and between two groups. Results All the 82 patients received an average of 13.2±1.2 months of follow-up. The mean operative time, the exposure time to X-rays and the amount of bone cement was shorter in the unilateral groups than that in bilateral groups (t=9.782, t=23.097, t=5.049, P<0.05). The postoperative VAS score and ODI in two groups were decreased than the preoperative data, difference was statistically significant (F=779.477, F=465.976, P<0.01), but the inter-group comparison was not significantly different (F=0.310, F=0.699, P>0.05). The anterior and middle vertebral height restoration was well increased in two groups (F=74.955, F=27.330, P<0.01), but the inter-group comparison was not significantly different (F=0.091, F=0.007, P>0.05). Conclusion There was no difference in pain relief and the average vertebral body height when treated with either unipedicular or bipedicular kyphoplasty, but the unipedicular kyphoplasty has the advantage of less operation time, frequency of X-ray exposure, amount of bone cement and simpler procedure

参考文献/References:

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备注/Memo

备注/Memo:
2015年山西省科技基础条件平台项目（2015091002-0105）
更新日期/Last Update: 2017-11-24