摘要
目的探讨经皮椎体成形术(PVP)联合经皮椎弓根螺钉内固定治疗胸腰椎骨折的临床疗效。方法回顾性分析2015年11月至2017年6月在我院行PVP联合经皮椎弓根螺钉内固定术的43例胸腰椎骨折患者的临床资料,其中男28例,女15例,年龄50~66岁,平均(58.26±3.67)岁。采用视觉模拟评分(VAS)和Oswestry功能障碍指数(ODI)评分进行术前、术后的疗效评价;采用矢状位Cobb角来评估骨折的复位情况。结果 26例患者均手术过程顺利,术后无神经损伤等并发症出现。手术时间60~126 min,平均为(96.07±15.69)min;术中出血60~180 mL,平均(113.26±24.7)mL。所有患者均获得随访,随访时间4~23个月,平均为(12.07±4.01)个月。与术前相比,末次随访时的VAS评分、ODI评分和矢状位Cobb角均明显减小,差异有统计学意义(P<0.05)。结论 PVP联合微创经皮椎弓根螺钉内固定治疗胸腰椎骨折手术创伤小、出血少,且手术时间短,患者术后局部疼痛、功能运动和后凸畸形都得到了明显改善。
Objective To discuss the clinical curative effect of percutaneous vertebroplasty （PVP） combined with percutaneous pedicle screw fixation for thoracolumbar fracture. Methods Retrospectively analyzed the clinical data of 43 patients with thoracolumbar fracture who underwent PVP combined with percutaneous pedicle screw fixation in our hospital from November 2015 to June 2017. Those patients included 28 males and 15 females ,and the age of patients ranged from 50 to 66 years old,with an average age of （58.26 ±3.67） years old. The functional outcome were evaluated by VAS scores and ODI scores before and after the operation. The sagittal Cobb angle was used to evaluate the reduction of fracture. Results All these patients all successfully completed the operation, and there was no complications after operation. The operation time ranged from 60 to 126 min, with an average time of （96.07 ± 15.69 ）min;the blood loss ranged from 60 to 180 rain, with an average time of （ 113.26 ± 24.7 ） min. All the patients were followed up for 4 to 23 months, with an average time of （ 12.07 ± 4.01 ） months. The VAS score, ODI score and sagittal Cobb angle were significantly decreased in the last follow-up period compared with those before surgery, and the difference was statistically significant （P 〈 0.05）. Conclusion PVP combined with percutaneous pedicle screw fixation in the treatment of thoracolumbar fracture has smaller incision,less blood loss, shorter operation time and better improvement of local pain, functional movement and kyphosis.
出处
《局解手术学杂志》
2018年第2期132-135,共4页
Journal of Regional Anatomy and Operative Surgery
基金
辽宁省自然科学基金(20170540958)
关键词
经皮椎体成形术
经皮椎弓根螺钉内固定术
胸腰椎骨折
percutaneous vertebroplasty
percutaneous pedicle screw fixation
thoracolumbar fracture
