[1]曾本强,罗凌云,常瑞,等.基层医院科室间联合行经皮椎体后凸成形术的疗效研究[J].中华老年骨科与康复电子杂志,2018,(04):209-213.[doi:10.3877/cma.j.issn.2096-0263.2018.04.004]
　Zeng Benqiang,Luo lingyun,Chang Rui,et al.Investigation on percutaneous kyphoplasty by department’s collaboration at primary hospital[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2018,(04):209-213.[doi:10.3877/cma.j.issn.2096-0263.2018.04.004]
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基层医院科室间联合行经皮椎体后凸成形术的疗效研究()
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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:
2018年04期
页码:
209-213
栏目:
脊柱
出版日期:
2018-07-30

文章信息/Info

Title:
Investigation on percutaneous kyphoplasty by department’s collaboration at primary hospital
作者:
曾本强1; 罗凌云2; 常瑞1; 杨勇1; 陈安刚1; 宋小强1; 胡兵1; 秦毅3
611130 四川省人民医院温江分院骨科1，放射科2；519000 暨南大学医学院附属珠海医院脊柱骨病科3
Author(s):
Zeng Benqiang1;  Luo lingyun2;  Chang Rui1;  Yang Yong1;  Chen Angang 1;  Song Xiaoqiang1;  Hu Bing1;  Qin Yi3
1Department of Orthopaedics, 2Department of Radiology, Wenjiang branch of Sichuan Provincial People’s Hospital, Chengdu 611130, China; 3Department of Spinal Orthopaedics, Zhuhai People’s Hospital, Zhuhai hospital affiliated with Jinan University, Zhuhai 519000, China
关键词:
椎体后凸成形术;  骨质疏松性骨折;  血管造影术; 数字减影
Keywords:
Kyphoplasty;  Osteoporotic fractures;  Angiography;  digital subtraction
DOI:
10.3877/cma.j.issn.2096-0263.2018.04.004
文献标志码:
A
摘要:
目的 对比分析基层医院放射科医师同骨科医师联合，在数字减影血管造影（DSA）机下行经皮椎体后凸成形术（PKP）与单纯骨科医师在C型臂X线机下行PKP治疗胸腰椎骨质疏松性椎体压缩性骨折（OVCF）的疗效。方法 前瞻性收集2011年1月至2015年3月四川省成都市温江区人民医院收治的42例胸腰椎OVCF行PKP治疗的患者，依据患者入院时间的先后顺序分为A、B两组，A组20例由骨科医师在C型臂X线机下完成，B组22例由放射科医师协助骨科医师在DSA机下完成。观察两组患者手术时间及疼痛视觉模拟评分（VAS）及术后并发症情况。结果 A组除1例术中不能正常透视致手术失败外，所有病例均成功完成手术，B组全部顺利完成手术。B组手术时间为（25.4±1.9）min，少于A组的（48.3±2.6）min，差异具有统计学意义（t=80.392，P＜0.05）；A组术后1 d VAS评分为（3.4±1.3）分，B组为（2.0±1.1）分；A组术后1个月VAS评分为（1.6±0.3）分，B组为（1.1±0.4）分，B组均优于A组，差异均具有统计学意义（均P＜0.05）。两组均无肺栓塞、椎管内渗漏等严重并发症发生。结论 放射科医师与骨科医师联合在DSA机下行PKP的速度和疗效均优于骨科医师单纯在C型臂下行PKP。
Abstract:
Objective To investigate and compare the efficacy of percutaneous kyphoplasty (PKP) under DSA by radiologists and orthopedic surgeons at primary hospital and percutaneous kyphoplasty under C-arm by orthopedic surgeons on the treatment of thoracolumbar osteoporotic vertebra compressed fracture (OVCF). Methods Forty-two thoracolumbar osteoporotic fracture patients treated with PKP in Wenjiang branch of Sichuan Provincial People’s Hospital from January 2011 to March 2015 were retrospectively analyzed. Patients were divided into A and B group according to the time of admission. Among them, 20 cases were performed under C-arm by orthopedic surgeons (group A) while 22 cases were treated under DSA by radiologists and orthopedic surgeons (Group B), the application value of department’s collaboration of PKP were evaluated by observing the operation time, VAS and postoperative complication between two groups. Results All patients in group A completed the surgery successfully except for 1 case of X-Ray fluoroscopy failure, while all patients in group B successfully completed the surgery. The operation time of group B was (25.4±1.9)min, which was significantly less than group A (48.3±2.6)min, difference was statistically significant (t=80.392, P<0.05); VAS score on postoperative day 1 in Group A were (3.4 ±1.3) and in group B were (2.0±1.1). VAS score on postoperative 1 month in Group A were (1.6±0.3) and Group B were (1.1±0.4), data in Group B were significantly better than Group A (P<0.05). There were no serious complications such as pulmonary embolism and spinal canal leakage in both groups. Conclusion The speed and efficacy of PKP under DSA by radiologists and orthopaedic surgeons are significantly better than those of orthopaedic surgeons alone under the C-arm.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目：广东省中医药局科研课题（20141260）
更新日期/Last Update: 2018-07-30