| 宋若先,谭树森,张 雷,张红侠,颜丙祥,韩 康.网袋强化椎体成形术与经皮后凸椎体成形术在胸腰段骨质疏松压缩骨折中的短期疗效比较[J].,2021,(21):4185-4189 |
| 网袋强化椎体成形术与经皮后凸椎体成形术在胸腰段骨质疏松压缩骨折中的短期疗效比较 |
| Comparison of Bone-filled Mesh Vertebroplasty and Percutaneous Balloon Vertebroplasty in the Treatment of Osteoporotic Vertebral Compression Fracture |
| 投稿时间：2021-02-28 修订日期：2021-03-23 |
| DOI：10.13241/j.cnki.pmb.2021.21.039 |
| 中文关键词: 骨填充网袋 椎体成形术 骨水泥渗漏 |
| 英文关键词: Bone filling mesh bag Vertebroplasty Bone cement penetration |
| 基金项目:国家自然科学基金项目（81702935） |
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| 中文摘要: |
| 摘要 目的：研究和比较使用网袋强化椎体成形术与经皮后凸椎体成形术在胸腰段骨质疏松压缩骨折中的短期疗效和安全性。方法：对2018年1月至2021年1月3年内，诊断为脊柱骨质疏松性骨折且行手术治疗的共计95例患者进行回顾性分析。根据实施手术方式的不同，将纳入的95例患者分为网袋组和PKP组。其中行网袋强化椎体成形术41例（网袋组），行经皮后凸椎体成形术54例（PKP组）。统计和比较两组患者在术后的3天，3月的VAS评分及ODI评分。并对患者的影像学指标进行详细比较，包括患椎的前后缘及中线高度，cobb角，及骨水泥的分布以及骨水泥渗漏率。结果：在术后3天及3月时，两组患者的VAS评分和ODI评分较前均有显著改善(P<0.05)，但两组间并无显著差异(P>0.05)。在术后3天及3月时，两组患者的患椎前后缘、中线高度及cobb角较前均有显著改善(P<0.05)，但两组间并无显著差异(P>0.05)。网袋组在术后的骨水泥单侧分布率、渗漏率均优于对照组(P<0.05)。两组均未出现严重并发症(P>0.05)。结论：在胸腰椎骨质疏松性压缩骨折的治疗中，与常规的经皮椎体后凸成形术相比，网袋强化椎体成形术在手术疗效及撑开效果中无明显差异，但骨水泥渗漏率显著降低，能够有效的提高手术的安全性，在临床中可以进一步推广。 |
| 英文摘要: |
| ABSTRACT Objective: To study the difference between bone pouch vertebroplasty and percutaneous balloon dilatation vertebroplasty in the treatment of osteoporotic fracture of spine. Methods: From 2018.01 to 2021.01，95 cases of with osteoporotic fracture of spine were divided into two groups according to different operation ways. 41 patients underwent surgery using bone pouch vertebroplasty (mesh bag group), while 54 patients underwent surgery with conventional balloon dilatation vertebroplasty(PKP group). The VAS and ODI scores in 3days, 3 months after operations were analyzed. Standard thoracolumbar radiography were performed before and after operation. The imaging was compared before and after operation, including anterior edge height, posterior edge height, midline height and cobb angle. The bone cement distribution and the rate of bone cement leakage were evaluated of both groups. Results: 3 days and 3 months after operation, the VAS and the ODI were significant better (P<0.05), while there was no significant difference between 2 groups (P>0.05). In sagittal position, the anterior edge height, posterior edge height, midline height and cobb angle of the two groups recovered significantly compared with those before operation, but there was no significant difference between the two groups(P>0.05). The bone cement distribution and cement leakage rate was significantly better in the mesh bag group (P< 0.05). There was no significant difference in the complications between the two groups. Conclusion: Comparing the conventional PKP method, using the bone pouch vertebroplasty can effective improve bilateral distribution rate of bone cement, and reduce leakage rate of bone cement, which could be further promoted in clinic in osteoporotic vertebral compression fractures. |
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