[1]李海龙,刘成升,刘艺明,等.PVP与PKP经单侧入路治疗骨质疏松性椎体压缩骨折的疗效比较[J].医学信息,2021,34(04):136-138.[doi:10.3969/j.issn.1006-1959.2021.04.036]
　LI Hai-long,LIU Cheng-sheng,LIU Yi-ming,et al.Comparison of the Curative Effect of PVP and PKP in the Treatment of Osteoporotic Vertebral Compression Fractures via Unilateral Approach[J].Medical Information,2021,34(04):136-138.[doi:10.3969/j.issn.1006-1959.2021.04.036]
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PVP与PKP经单侧入路治疗骨质疏松性椎体压缩骨折的疗效比较()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年04期
页码:
136-138
栏目:
临床研究
出版日期:
2021-02-15

文章信息/Info

Title:
Comparison of the Curative Effect of PVP and PKP in the Treatment of Osteoporotic Vertebral Compression Fractures via Unilateral Approach
文章编号:
1006-1959（2021）04-0136-03
作者:
李海龙; 刘成升; 刘艺明; 等
（安徽医科大学第三附属医院脊柱外科，安徽 合肥 230061）
Author(s):
LI Hai-long; LIU Cheng-sheng; LIU Yi-ming; et al.
(Spine Surgery,the Third Affiliated Hospital of Anhui Medical University,Hefei230061,Anhui,China)
关键词:
骨质疏松; 椎体压缩骨折; 经皮椎体成形术; 经皮椎体后凸成形术
Keywords:
Osteoporosis; Vertebral compression fracture; Percutaneous vertebroplasty;  Percutaneous kyphoplasty
分类号:
R687.3
DOI:
10.3969/j.issn.1006-1959.2021.04.036
文献标志码:
A
摘要:
目的 比较经皮椎体成形术（PVP）与经皮椎体后凸成形术（PKP）经单侧入路治疗骨质疏松性椎体压缩骨折（OVCF）的临床效果及并发症情况。方法 选取2016年1月~2020年6月因骨质疏松性椎体压缩骨折入住本院的102例患者，根据治疗方法将其分为PVP组（42例）和PKP组（60例），PVP组予以经皮椎体成形术治疗，PKP组采用经皮椎体后凸成形术治疗，随访1~2年，比较两组手术时间、骨水泥用量、骨水泥分布形态、VAS评分、椎体高度及术后骨水泥渗漏、邻近椎体骨折情况。结果 PKP组手术时间、骨水泥用量均高于PVP组，差异有统计学意义（P＜0.05）；PKP组椎体高度改善优于PVP组，差异有统计学意义（P＜0.05）；两组术后VAS评分均较术前改善，差异有统计学意义（P＜0.05），但组间比较，差异无统计学意义（P＞0.05）；PVP组骨水泥渗漏发生率为19.05%，PKP组为16.67%，差异无统计学意义（P＞0.05）；PKP组术后邻近椎体骨折发生率为26.67%，高于PVP组的9.52%，差异有统计学意义（P＜0.05）。结论 经皮椎体成形术及经皮椎体后凸成形术均可缓解骨质疏松性椎体压缩骨折的疼痛，在恢复椎体高度方面，经皮椎体后凸成形术优于经皮椎体成形术，但其操作复杂、耗时。
Abstract:
Objective To compare the clinical effects and complications of percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP) in the treatment of osteoporotic vertebral compression fractures (OVCF) via a unilateral approach.Methods A total of 102 patients who were admitted to our hospital for osteoporotic vertebral compression fractures from January 2016 to June 2020 were selected and divided into PVP group (42 cases) and PKP group (60 cases) according to the treatment method.The PVP group was treated with percutaneous vertebroplasty, and the PKP group was treated with percutaneous kyphoplasty.Follow-up for 1 to 2 years, the operation time, bone cement dosage, bone cement distribution shape, VAS score, vertebral height, postoperative bone cement leakage, and adjacent vertebral fractures were compared between the two groups.Results The operation time and the amount of bone cement in the PKP group were higher than those in the PVP group,the difference was statistically significant(P＜0.05);The improvement of vertebral body height in PKP group was better than that in PVP group, the difference was statistically significant (P＜0.05);The postoperative VAS scores of the two groups were improved compared with preoperative, the difference was statistically significant (P＜0.05).However, the difference between the groups was not statistically significant (P>0.05);The incidence of bone cement leakage in the PVP group was 19.05% and that in the PKP group was 16.67%, the difference was not statistically significant (P>0.05);The incidence of adjacent vertebral body fractures in the PKP group was 26.67%, which was higher than 9.52% in the PVP group,the difference was statistically significant (P<0.05).Conclusion Both percutaneous vertebroplasty and percutaneous kyphoplasty can relieve the pain of osteoporotic vertebral compression fractures. Percutaneous kyphoplasty is superior to percutaneous vertebral vertebral body in terms of restoring the height of the vertebral body. Body plastic surgery, but its operation is complicated and time-consuming.

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更新日期/Last Update: 1900-01-01