[1]庞 渊,张 庆,阿伍提·艾克木,等.经皮椎体成形术治疗骨质疏松性椎体压缩性骨折的 疗效分析[J].医学信息,2019,32(11):116-118.[doi:10.3969/j.issn.1006-1959.2019.11.033]
　PANG Yuan,ZHANG Qing,Awti Aikemu,et al.Therapeutic Effect of Percutaneous Vertebroplasty in the Treatment of Osteoporotic Vertebral Compression Fractures[J].Journal of Medical Information,2019,32(11):116-118.[doi:10.3969/j.issn.1006-1959.2019.11.033]
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经皮椎体成形术治疗骨质疏松性椎体压缩性骨折的 疗效分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年11期
页码:
116-118
栏目:
临床研究
出版日期:
2019-06-01

文章信息/Info

Title:
Therapeutic Effect of Percutaneous Vertebroplasty in the Treatment of Osteoporotic Vertebral Compression Fractures
文章编号:
1006-1959（2019）11-0116-03
作者:
庞 渊; 张 庆; 阿伍提·艾克木; 孙 泉
乌鲁木齐市中医医院骨伤科，新疆 乌鲁木齐 830000
Author(s):
PANG Yuan; ZHANG Qing;  Awti Aikemu; SUN Quan
Department of Orthopaedics,Urumqi Chinese Medicine Hospital,Urumqi 830000,Xinjiang,China
关键词:
骨质疏松; 椎体压缩性骨折; 经皮椎体成形术
Keywords:
Key words：Osteoporosis; Vertebral compression fracture; Percutaneous vertebroplasty
分类号:
R687.3
DOI:
10.3969/j.issn.1006-1959.2019.11.033
文献标志码:
A
摘要:
目的 探讨经皮椎体成形术（PVP）治疗骨质疏松性椎体压缩性骨折（OVCF）的临床疗效。方法 收集2016年1月~2018年1月乌鲁木齐市中医医院骨伤科应用PVP治疗OVCF住院患者50例，观察手术前、术后1 d、1个月、1年的视觉疼痛模拟量表（VAS）评分、Oswestry功能障碍指数（ODI）、椎体前缘高度及Cobb角的变化，记录围手术期并发症发生情况。结果 术后1 d、1个月、1年的VAS评分分别为（2.20±0.99）分、（1.78±0.65）分、（1.71±0.34）分，ODI分别为（19.87±5.05）、（13.90±4.23）、（13.07±3.61），椎体前缘高度分别为（18.92±1.72）mm、（18.81±1.26）mm、（17.96±1.15）mm，Cobb角分别为（12.31±1.14）°、（12.42±1.25）°、（13.01±1.37）°，均较术前有改善，差异具有统计学意义（P＜0.05）。所有患者随访12个月，20例患者胸腰背疼痛症状完全缓解，28例疼痛症状明显缓解，2例患者疼痛症状减轻。骨水泥渗漏5例，未见椎管内渗漏，患者均无明显不适症状，未予特殊处理，无椎弓根骨折、无伤口感染，术后均无神经脊髓损伤等并发症发生。结论 PVP治疗OVCF的疗效较好，具有安全、有效、微创、快速的优点，值得临床应用。
Abstract:
Abstract：Objective To evaluate the clinical efficacy of percutaneous vertebroplasty (PVP) in the treatment of osteoporotic vertebral compression fractures (OVCF).Methods From January 2016 to January 2018, 50 patients with OVCF were treated with PVP in the Department of Orthopaedics, Urumqi Chinese Medicine Hospital. The visual pain analog scale (VAS) was observed before and after 1 d, 1 month and 1 year surgery. Oswestry dysfunction index (ODI), vertebral body height and Cobb angle changes, recording perioperative complications.Results The VAS scores at 1 day, 1 month, and 1 year after surgery were (2.20±0.99), (1.78±0.65), (1.71±0.34), and ODI were (19.87±5.05), (13.90±4.23), (13.07±3.61), the height of the anterior edge of the vertebral body is (18.92±1.72) mm, (18.81±1.26) mm, (17.96±1.15) mm, and the Cobb angle is (12.31±1.14)°, (12.42±1.25)°, (13.01±1.37)°,all improved compared with preoperative, the difference was statistically significant (P<0.05). All patients were followed up for 12 months.Twenty patients had complete relief of chest and back pain symptoms, 28 patients with pain relief, and 2 patients with pain relief.There were 5 cases of bone cement leakage, no leakage in the spinal canal, no obvious discomfort in the patients, no special treatment, no pedicle fracture, no wound infection, no complications such as spinal cord injury after operation.Conclusion PVP has good curative effect on OVCF, and it is safe, effective, minimally invasive and rapid. It is worthy of clinical application.

参考文献/References:

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更新日期/Last Update: 2019-06-01