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单侧椎弓根旁入路对下部胸椎骨质疏松性压缩骨折PKP效果的影响 预览 被引量:3

Effect of unilateral pedicle approach on PKP in lower thoracic osteoporotic compression fractures
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摘要 目的探究单侧椎弓根旁入路对下部胸椎骨质疏松性压缩骨折经皮椎体成形术(PKP)效果的影响。方法选取2013年3月至2016年3月该院收治的60例下部胸椎骨质疏松性压缩骨折患者为研究对象,采用随机数表法分为对照组和观察组,每组各30例。对照组30例患者采用单侧椎弓根入路PKP治疗,观察组30例患者采用单侧椎弓根旁入路PKP治疗。对比2组患者的围术期情况、伤椎后凸Cobb角、伤椎中部高度、伤椎前缘高度、视觉模拟(VAS)评分、Oswestry功能障碍指数(ODI)评分、骨水泥渗漏情况。结果 2组患者的骨水泥用量、住院时间、卧床休息时间比较,差异均无统计学意义(P〉0.05)。观察组患者的手术时间、术中透视次数均低于对照组患者,差异均有统计学意义(P〈0.05)。术前2组患者的伤椎后凸Cobb角、伤椎中部高度、伤椎前缘高度比较,差异均无统计学意义(P〉0.05),术后均有明显改善,与术前比较,差异有统计学意义(P〈0.05),但2组术后比较,差异无统计学意义(P〉0.05)。对照组(40.00%)患者的骨水泥渗漏发生率明显高于观察组(13.33%),差异有统计学意义(P〈0.05)。结论给予下部胸椎骨质疏松性压缩骨折患者单侧椎弓根旁入路PKP治疗和单侧椎弓根入路PKP治疗均能取得较佳的临床疗效,但单侧椎弓根旁入路PKP治疗手术时间短,术中所需透视次数少,骨水泥渗漏发生率较低,可以进一步进行研究和推广。 Objective To explore the effect of unilateral pedicle side approach on the effect of percutaneous vertebral angioplasty (PKP) in the lower thoracic osteoporotic compression fractures. Methods A total of 60 patients with lower thoracic vertebrae oste- oporosis compression fracture were recruited into this research from March 2013 to March 2016,and divided into control group and observation group,each group with 30 cases. The control group of 30 patients were received treatment of unipedicular approach PKP,the observation group of 30 patients were received treatment of unilateral pedicle into the road PKP. Compared perioperative period,vertebral Cobb angle, vertebral height of middle and injured vertebral height, visual analogue scale(VAS) score and Oswe- stry disability index(ODD score,bone eement leakage in two groups. Results The results of bone cement, patients in hospital time, bed rest time showed no significant differences in the two groups(P〉0.05). The operation time,intraoperative fluoroscopy times in the observation group were lower than those in the control group, the differences were statistically significant(P〈0.05). Preopera- tive vertebral kyphotic Cobb the central angle,vertebral height,anterior vertebral height in the two groups showed no signifieant differences(P〉0.05), after receiving operation the three indicators were all significantly improved compared with those before op- eration(P〈0.05) ,but there were no significant differences between the two groups after receiving operation(P〉0.05). The bone cement leakage rate (13.33%) in the control group was significant higher than that of the observation group(40.00%) ,the differ- ence was statistically significant(P〈0.05). Conclusion Patients with lower thoracic osteoporotic compression fractures receving u- nilateral pediele side approach PKP and unipedicular unilateral pedicle into the road PKP all achieve better clinical efficacy,but the latter one has a short surgery time, fewer desired opera
作者 王海峰 WANG Hai feng (Department of Orthopaedics, Zaozhuang Yicheng District People's Hospital, Zaozhuang , Shandong 277300, China)
出处 《检验医学与临床》 CAS 2017年第3期367-369,372共4页 Laboratory Medicine and Clinic
关键词 下部胸椎骨质疏松性压缩骨折 单侧椎弓根旁入路 单侧椎弓根入路 经皮椎体成形术 骨水泥渗漏 lower thoracic osteoporotic compression fractures unilateral pedicle side approach unilateral pedicle into the road percutaneous vertebral angioplasty bone cement leakage
作者简介 王海峰,男,主治医师,主要从事骨与关节损伤的临床治疗研究。
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