| 高云龙,王和洪,孙燚炎,赵日光,赵雪岩,朱雪坤,冯 晖.弯角与单侧PVP治疗骨质疏松性椎体压缩骨折疗效比较的回顾性研究[J].,2024,(7):1281-1285 |
| 弯角与单侧PVP治疗骨质疏松性椎体压缩骨折疗效比较的回顾性研究 |
| Retrospective Study on the Comparison of the Efficacy of Curved Angle and Unilateral PVP in Treatment of Osteoporotic Vertebral Compression Fractures |
| 投稿时间：2023-09-06 修订日期：2023-09-27 |
| DOI：10.13241/j.cnki.pmb.2024.07.015 |
| 中文关键词: 弯角 经皮椎体成形术 单侧 疗效 骨质疏松性椎体压缩骨折 |
| 英文关键词: Curved angle Percutaneous vertebroplasty Unilateral Efficacy Osteoporotic vertebral compression fractures |
| 基金项目:江苏省自然科学基金项目（BE2016647） |
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| 中文摘要: |
| 摘要 目的：回顾性比较弯角与单侧经皮椎体成形术（PVP）治疗骨质疏松性椎体压缩骨折（OVCF）疗效。方法：回顾性分析2020年1月-2023年1月期间中国人民解放军陆军第七十一集团军医院骨科收治的98例OVCF患者的临床资料。根据手术方式的不同将患者分为弯角组（n=51）、单侧组（n=47），对比两组围术期指标、骨水泥双侧分布情况、骨水泥渗漏情况、疼痛视觉模拟评分（visual analogue scale，VAS）、Oswestry功能障碍指数（Oswestry disability index，ODI）和并发症发生率。结果：两组术中出血量、总治疗费用、住院时间对比未见差异（P>0.05）。与单侧组相比，弯角组的骨水泥双侧分布情况更优，骨水泥渗漏发生率更低（P<0.05）。与单侧组相比，弯角组手术时间更长，骨水泥注入量、术中透视次数更少（P<0.05）。与单侧组相比，术后1周、术后12周弯角组ODI、VAS评分更低（P<0.05）。两组并发症发生率组间对比未见差异（P>0.05）。结论：与单侧PVP相比，弯角PVP治疗OVCF，可获得相当的效果，同时还可降低骨水泥渗漏发生率，减轻术后疼痛，促进术后功能恢复。 |
| 英文摘要: |
| ABSTRACT Objective: To retrospectively compare the efficacy of curved angle and unilateral percutaneous vertebroplasty (PVP) in treatment of osteoporotic vertebral compression fractures (OVCF). Methods: The clinical data of 98 OVCF patients who were admitted to the Department of Orthopedics of The The 71st Army Hospital of Chinese People's Liberation Army from January 2020 to January 2023 were retrospectively analyzed. Patients were divided into curved angle group (n=51) and unilateral group (n=47) according to the different surgical methods, the perioperative indexes, bilateral distribution of bone cement, bone cement leakage, visual analogue scale (VAS), Oswestry dysfunction index (ODI) and complication rate were compared between two groups. Results: There was no difference in intraoperative blood loss, total treatment cost and hospitalization time between two groups(P>0.05). Compared with unilateral group, the bilateral distribution of bone cement in curved angle group was better, and the incidence of bone cement leakage was lower (P<0.05). Compared with unilateral group, the operation time in curved angle group was longer, the amount of bone cement injection and the number of intraoperative fluoroscopy were less(P<0.05). Compared with unilateral group, the ODI and VAS scores in curved angle group were lower at 1 week after operation and 12 weeks after operation(P<0.05). Conclusion: Compare with unilateral PVP, curved PVP in the treatment of OVCF, which can achieve considerable results, reduce the incidence of bone cement leakage, reduce postoperative pain, and promote postoperative functional recovery. |
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