| 高全有 韩康 高浩然 薛为高 蔺啸 杨文学 刘永明 单乐群.经皮椎体成形术与椎体后凸成形术治疗椎体血管瘤疗效比较[J].,2015,15(22):4279-4282 |
| 经皮椎体成形术与椎体后凸成形术治疗椎体血管瘤疗效比较 |
| Comparison of the Clinical Efficacy of Percutaneous Vertebroplasty andPercutaneous Kyphoplasty in the Treatment of Vertebral Hemangioma |
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| DOI： |
| 中文关键词: 血管瘤 经皮椎体成形术 椎体后凸成形术 |
| 英文关键词: Vertebral hemangioma Percutaneous vertebroplasty Percutaneous kyphoplasty |
| 基金项目:国家自然科学基金项目(81201633) |
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| 中文摘要: |
| 目的：探讨和比较经皮椎体成形术与椎体后凸成形术治疗椎体血管瘤的临床效果和安全性。方法：将2009 年-2013 年我院
收治的有手术适应症且明确诊断为椎体血管瘤的患者48例进行随机分组。其中27例给予经皮椎体成形术治疗(PVP组)，21 例给
予椎体后凸成形术治疗(PKP 组)。根据详实的随访资料对两组患者在术后的VAS 疼痛评分、总费用、术中疼痛评分、骨水泥渗漏
等并发症等指标进行分析和评价。结果：PKP组患者在术后疼痛评分方面低于PVP 组，但无统计学差异(P>0.05)。PKP组患者在总
费用方面高于对方，但在术中疼痛评分、骨水泥渗漏等并发症方面优于对方，有统计学意义(P<0.05)。结论：两种手术方式在改善
患者术后疼痛方面无明显差异。椎体后凸成形术在术中感受及安全性方面优于经皮椎体成形术，但费用高于对方。在临床工作中
应根据患者具体病情和需要进行应用。 |
| 英文摘要: |
| Objective:To compare the clinical effect and safety of patients with vertebral hemangioma treated with percutaneous
vertebroplasty (PVP) or Percutaneous kyphoplasty (PKP).Methods:48 patients with vertebral hemangioma who had surgical indications
were randomly divided into the PVP group (27 cases) and PKP group (21 cases) , in which the patients were treated with PVP and PKP,
respectively. Clinical outcomes were evaluated by visual analogue scale (VAS), the cost, the pain during the operation and complications
like bone cement between two groups.Results:The VAS score of PKP group was lower than PVP, however, which had no significantly
differences (P>0.05). There were significantly differences on the total cost, the pain during the operation and complications (P<0.05).Conclusion:There are no significantly difference between PVP and PKP on visual analogue scale after operation. Howerer, PKP has
obvious advantages in some aspects of the treatment of vertebral hemangioma including the feeling in surgery and safety. Treatment
choice should be done according to patients' condition. |
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