摘要
目的比较经皮单侧与双侧椎弓根入路椎体成形术(PVP)治疗骨质疏松性椎体压缩性骨折(OVCFs)的临床疗效。方法收集2010年1月—2012年1月在我院行PVP治疗的老年椎体压缩性骨折55例63个椎体。按手术入路方法的不同分成单、双侧入路组,其中单侧组21例,双侧组34例。比较两组手术时间、透视次数、骨水泥用量、住院天数、VAS、ODI评分、椎体相对高度及LKA角的恢复情况。结果术后平均随访(12.5±3.2)个月。两组术前临床一般资料比较无统计学差异(P>0.05)。手术时间和透视次数单侧组明显少于双侧组(P<0.01),骨水泥用量和住院天数两组比较无统计学差异(P>0.05)。术后两组VAS、ODI、椎体相对高度,LKA角均较术前有明显改善(P<0.01),但两组比较无统计学差异(P>0.05)。骨水泥渗漏发生率两组比较无统计学差异(P>0.05)。结论单侧与双侧经椎弓根入路治疗OVCFs均可获得良好的临床疗效,单侧入路具有手术时间短、透视次数少、创伤小等优点。
Objective To discuss the clinical efficacy of unilateral versus bilateral percutaneous vertebroplasty （PVP） for fresh os- teoporotic vertebral compression fractures （OVCFs）. Methods A clinical review was conducted. From January 2010 to January 2012,55 patients （63 vertebrae） with fresh osteoporotic vertebral compression fractures were randomly divided into two groups. They were treated with PVP through unipedicular approach （ unilateral group, n = 21 ） or bipedicular approach （ bilateral group, n = 34）. Operation time, X-ray exposure time, hospitalization days, bone cement volume, visual analogue scale （VAS） , oswsetry disability indexes, recovery of fractured vertebrae height and local kyphotic angle were evaluated. The clinical efficacy was compared between the two groups. Results All the patients were followed up for a mean of （ 12.5 ± 3.2 ） months, and there was no difference in preoperative clinical data between the two groups （ P 〉 0. 05 ）. The operation time and the X-ray exposure time of the unilateral group were much less than that of the bilateral group （ P 〈 0.01 ） , but there were no statistical differences in hospitalization days and bone cement volume between the two groups （ P 〉 0. 05）. VAS, oswsetry disability indexes, fracture vertebrae height and local kyphotic angle were statistically improved in both the groups after operation （ P 〈 0.01 ）, but they were of no statistical difference between unilateral and bilateral PVP （ P 〉 0.05 ）. The rate of bone cement leakage was of no statistical difference between unilateral and bilateral PVP （P 〉 0. 05）. Conclusion Both unipedicular and bipedicular PVPs are effective on the treatment of OVCFs, but the former may shorten operation and X-ray exposure time, and therefore lessen injury.
出处
《临床军医杂志》
CAS
2014年第7期704-706,725,共4页
Clinical Journal of Medical Officers
关键词
脊柱
骨质疏松症
骨折
椎体成形术
疗效
spine
osteoporosis
fracture
vertebroplasty
therapeutic outcome
