[1]陈 啸,王立飞.单侧弯角经皮穿刺椎体成形术与传统双侧穿刺椎体成形术治疗胸腰椎骨质疏松性骨折的疗效比较[J].医学信息,2022,35(08):124-126.[doi:10.3969/j.issn.1006-1959.2022.08.031]
　CHEN Xiao,WANG Li-fei.Comparison of Curative Effect Between Unilateral Percutaneous Curved Vertebroplasty and Traditional Bilateral Percutaneous Vertebroplasty for Thoracolumbar Osteoporotic Fractures[J].Medical Information,2022,35(08):124-126.[doi:10.3969/j.issn.1006-1959.2022.08.031]
点击复制

单侧弯角经皮穿刺椎体成形术与传统双侧穿刺椎体成形术治疗胸腰椎骨质疏松性骨折的疗效比较()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年08期
页码:
124-126
栏目:
临床研究
出版日期:
2022-04-15

文章信息/Info

Title:
Comparison of Curative Effect Between Unilateral Percutaneous Curved Vertebroplasty and Traditional Bilateral Percutaneous Vertebroplasty for Thoracolumbar Osteoporotic Fractures
文章编号:
1006-1959（2022）08-0124-03
作者:
陈 啸; 王立飞
（合肥市第三人民医院脊柱外科，安徽 合肥 230001）
Author(s):
CHEN Xiao; WANG Li-fei
(Department of Spine Surgery,the Third People’s Hospital of Hefei,Hefei 230001,Anhui,China)
关键词:
单侧弯角经皮穿刺椎体成形术; 胸腰椎骨折; 骨质疏松; 微创手术
Keywords:
Unilateral percutaneous curved vertebroplasty; Thoracolumbar Fracture; Osteoporosis; Minimally Invasive
分类号:
R683.2
DOI:
10.3969/j.issn.1006-1959.2022.08.031
文献标志码:
A
摘要:
目的 比较单侧弯角经皮穿刺椎体成形术与传统双侧穿刺椎体成形术治疗骨质疏松性胸腰椎骨折的疗效。方法 选择2018年4月-2020年1月我院收治的骨质疏松性胸腰椎骨折患者40例，按照随机数字表法分为观察组与对照组，各20例。对照组采用传统双侧穿刺椎体成形术治疗，观察组采用单侧弯角经皮穿刺椎体成形术治疗。比较两组手术时间、术中出血量、术中透视时间，手术前后VAS评分以及术前、术后正侧位X线片上矢状位Cobb角、椎体高度改变。结果 观察组手术时间、术中出血量、术中透视时间均低于对照组，差异有统计学意义（P＜0.05）；两组术后3 d VAS评分低于术前，差异有统计学意义（P＜0.05）；观察组术后3 d VAS评分低于对照组，但差异无统计学意义（P＞0.05）；两组术前Cobb角、椎体高度比较，差异无统计学意义（P＞0.05）；两组术后3 d Cobb角低于术前，椎体高度高于术前，差异有统计学意义（P＜0.05），两组术后3 d Cobb角、椎体高度比较，差异无统计学意义（P＞0.05）。结论 单侧弯角经皮穿刺椎体成形术治疗骨质疏松性胸腰椎骨折与传统双侧穿刺椎体成形术相比，可缩短手术时间、减少辐射暴露，且不增加患者疼痛，是一种安全有效的术式。
Abstract:
Objective To compare the efficacy of unilateral percutaneous curved vertebroplasty and traditional bilateral percutaneous vertebroplasty in the treatment of osteoporotic thoracolumbar fractures.Methods A total of 40 patients with osteoporotic thoracolumbar fractures admitted to our hospital from April 2018 to January 2020 were randomly divided into observation group and control group, with 20 cases in each group. The control group was treated with traditional bilateral puncture vertebroplasty, and the observation group was treated with unilateral percutaneous corner vertebroplasty. The operation time, intraoperative blood loss, intraoperative fluoroscopy time, VAS score before and after operation, and changes of sagittal Cobb angle and vertebral height before and after operation were compared between the two groups.Results The operation time, intraoperative blood loss and intraoperative fluoroscopy time in the observation group were lower than those in the control group, and the difference was statistically significant (P<0.05). The VAS score of the two groups at 3 d after operation was lower than that before operation, and the difference was statistically significant (P<0.05); the VAS score at 3 d after operation in the observation group was lower than that in the control group, but the difference was not statistically significant (P>0.05). There was no significant difference in preoperative Cobb angle and vertebral height between the two groups (P>0.05); the Cobb angle at 3 d after operation was lower than that before operation, and the vertebral height was higher than that before operation, the difference was statistically significant (P<0.05). there was no significant difference in Cobb angle and vertebral height between the two groups at 3 d after operation (P>0.05).Conclusion Compared with traditional bilateral percutaneous vertebroplasty, unilateral percutaneous curved vertebroplasty for osteoporotic thoracolumbar fractures can shorten the operation time, reduce radiation exposure, and do not increase the pain of patients. It is a safe and effective operation method.

参考文献/References:

[1]Martikos K,Greggi T,Faldini C,et al.Osteoporotic thoracolumbar compression fractures:long-term retrospective comparison between vertebroplasty and conservative treatment[J].European Spine Journal,2018,27(Suppl 2):244-247.[2]Xie L,Zhao ZG,Zhang SJ,et al.Percutaneous vertebroplasty versus conservative treatment for osteoporotic vertebral compression fractures:An updated meta-analysis of prospective randomized controlled trials[J].International Journal of Surgery,2017(47):25-32.[3]Yuan WH,Hsu HC,Lai KL.Vertebroplasty and balloon kyphoplasty versus conservative treatment for osteoporotic vertebral compression fractures:A meta-analysis[J].Medicine,2016,95(31):e4491.[4]李玉伟,王海蛟,崔巍,等.过伸体位下球囊多点扩张行经皮椎体后凸成形术治疗新鲜脊柱压缩性骨折的疗效研究[J].中国全科医学,2017,20(36):4517-4522.[5]Garg B,Dixit V,Batra S,et al.Non-surgical management of acute osteoporotic vertebral compression fracture:A review[J].J Clin Orthop Trauma,2017,8(2):131-138.[6]Oh Y,Lee B,Lee S,et al.Percutaneous Vertebroplasty versus Conservative Treatment Using a Transdermal Fentanyl Patch for Osteoporotic Vertebral Compression Fractures[J].Journal of Korean Neurosurgical Society,2019,62(5):594-602.[7]曲道奎,焦守国,杨明,等.PKP术后新发有症状椎体压缩骨折的影响因素分析[J].中国骨与关节损伤杂志,2016,31(7):701-703.[8]Zhong R,Liu J,Wang R,et al.Unilateral curved versus bipedicular vertebroplasty in the treatment of osteoporotic vertebral compression fractures[J].BMC Surg,2019,19(1):193.[9]Cheng Y,Liu Y.Percutaneous curved vertebroplasty in the treatment of thoracolumbar osteoporotic vertebral compression fractures[J].The Journal of International Medical Research,2019,47(6):2424-2433.[10]曹冬子,许正伟,王存良,等.老年骨质疏松性椎体压缩骨折经皮椎体后凸成形术后新发骨折的危险因素分析[J].空军医学杂志,2018,34(1):41-44.[11]Ballane G,Cauley JA,Luckey MM,et al.Worldwide prevalence and incidence of osteoporotic vertebral fractures[J].Osteoporosis International,2017,28(5):1-12.[12]张文志,邱大权,李旭,等.经皮单方向螺钉联合伤椎万向钉固定治疗胸腰椎骨折的疗效评价[J].中国修复重建外科杂志,2016,30(5):569-574.[13]秦毅,秦杰,江建明,等.BCC骨水泥椎体成形术强化骨质疏松性椎体压缩性骨折的实验研究[J].中国骨质疏松杂志,2013,19(8):796-799.[14]曹臣,陈书连,高延征,等.骨填充网袋单侧穿刺经皮椎体成形术与经皮椎体后凸成形术治疗骨质疏松性椎体压缩骨折的疗效比较[J].中华创伤杂志,2019(1):30-37.[15]Zhu JJ,Zhang DS,Lou SL,et al.Surgical treatment of secondary fractures after percutaneous vertebroplasty:A retrospective study[J].Indian Journal of Orthopaedics,2017,51(3):269-272.

相似文献/References:

[1]赵继文.短节段固定结合伤椎置钉、植骨治疗胸腰椎骨折的临床效果分析[J].医学信息,2018,31(06):113.[doi:10.3969/j.issn.1006-1959.2018.06.037]
　ZHAO Ji-wen.Clinical Effect Analysis of Short Segment Fixation Combined with Injured Spinal Nail and Bone Grafting in the Treatment of Thoracolumbar Fracture[J].Medical Information,2018,31(08):113.[doi:10.3969/j.issn.1006-1959.2018.06.037]
[2]吴建立.椎弓根钉内固定术联合活血祛瘀汤治疗 胸腰椎骨折的疗效观察[J].医学信息,2018,31(09):147.[doi:10.3969/j.issn.1006-1959.2018.09.047]
　WU Jian-li.Clinical Observation of Pedicle Screw Fixation Combined with Huoxue Quyu Decoction in Treating Fractures of Vertebra Thoracalisand Lumbalis[J].Medical Information,2018,31(08):147.[doi:10.3969/j.issn.1006-1959.2018.09.047]
[3]沙福祥.不同术式治疗不稳定性胸腰椎骨折的比较研究[J].医学信息,2019,32(24):72.[doi:10.3969/j.issn.1006-1959.2019.24.023]
　SHA Fu-xiang.A Comparative Study of Different Surgical Procedures in the Treatment of Unstable Thoracolumbar Fracture[J].Medical Information,2019,32(08):72.[doi:10.3969/j.issn.1006-1959.2019.24.023]
[4]李卫科,诸赛玲.经皮椎体后凸成形术对老年胸腰椎骨折患者椎体功能恢复及并发症的影响[J].医学信息,2021,34(22):60.[doi:10.3969/j.issn.1006-1959.2021.22.017]
　LI Wei-ke,ZHU Sai-ling.Effect of Percutaneous Kyphoplasty on Vertebral Function Recovery and Complications in Elderly Patients with Thoracolumbar Fractures[J].Medical Information,2021,34(08):60.[doi:10.3969/j.issn.1006-1959.2021.22.017]
[5]徐志军.球囊扩张椎体后凸成形术在老年人胸腰椎骨质疏松性压缩骨折治疗中的应用[J].医学信息,2022,35(17):67.[doi:10.3969/j.issn.1006-1959.2022.17.016]
　XU Zhi-jun.Application of Percutaneous Balloon Kyphoplasty in the Treatment of Osteoporotic Vertebral Compression Fractures in the Elderly[J].Medical Information,2022,35(08):67.[doi:10.3969/j.issn.1006-1959.2022.17.016]
[6]龙 江,徐应堂.经皮微创脊柱内固定技术治疗创伤性胸腰椎骨折的疗效[J].医学信息,2020,33(07):109.[doi:10.3969/j.issn.1006-1959.2020.07.032]
　LONG Jiang,XU Ying-tang.Percutaneous Minimally Invasive Spinal Internal Fixation Technique for Traumatic Thoracolumbar Fractures[J].Medical Information,2020,33(08):109.[doi:10.3969/j.issn.1006-1959.2020.07.032]
[7]陈 啸,张文志,傅 扬.通道辅助下经皮椎弓根螺钉内固定与传统经皮内固定治疗胸腰椎骨折疗效的比较[J].医学信息,2020,33(08):105.[doi:10.3969/j.issn.1006-1959.2020.08.032]
　CHEN Xiao,ZHANG Wen-zhi,FU Yang.Comparison of Channel-assisted Percutaneous Pedicle Screw Internal Fixation with Traditional Percutaneous Internal Fixation for Thoracolumbar Fractures[J].Medical Information,2020,33(08):105.[doi:10.3969/j.issn.1006-1959.2020.08.032]
[8]李晓荣.磁共振成像对新旧胸腰椎骨折的诊断价值分析[J].医学信息,2022,35(19):139.[doi:10.3969/j.issn.1006-1959.2022.19.040]
　LI Xiao-rong.Diagnostic Value of Magnetic Resonance Imaging in Old and New Thoracolumbar Fractures[J].Medical Information,2022,35(08):139.[doi:10.3969/j.issn.1006-1959.2022.19.040]
[9]杨忠义,谢胜荣,董迎春,等.经皮椎弓根置钉内固定治疗成年人AO-A型胸腰椎骨折的临床观察[J].医学信息,2020,33(18):80.[doi:10.3969/j.issn.1006-1959.2020.18.024]
　YANG Zhong-YI,XIE Sheng-rong,DONG Ying-chun,et al.Clinical Observation of Percutaneous Pedicle Screw Fixation in the Treatment of Adult AO-A Thoracolumbar Fractures[J].Medical Information,2020,33(08):80.[doi:10.3969/j.issn.1006-1959.2020.18.024]
[10]张振华,李 芳,陈苏平,等.后路手术植骨方案差异对胸腰椎单椎体爆裂性骨折患者疗效及影像学参数的影响[J].医学信息,2023,36(17):98.[doi:10.3969/j.issn.1006-1959.2023.17.018]
　ZHANG Zhen-hua,LI Fang,CHEN Su-ping,et al.Influence of Different Bone Graft Schemes in Posterior Surgery on Clinical Efficacy and Imaging Parameters of Patients with Thoracolumbar Single Vertebral Burst Fracture[J].Medical Information,2023,36(08):98.[doi:10.3969/j.issn.1006-1959.2023.17.018]

更新日期/Last Update: 1900-01-01