| 何美健,林四龙,郑毅.双平面穿刺经皮椎体后凸成形术治疗ASOTLF的疗效分析.[J].中南医学科学杂志.,2024,(4):607-609, 656. |
| 双平面穿刺经皮椎体后凸成形术治疗ASOTLF的疗效分析 |
| Efficacy analysis of percutaneous kyphoplasty by biplane puncture in the treatment of ASOTLF |
| 投稿时间：2023-12-08 修订日期：2024-05-26 |
| DOI：10.15972/j.cnki.43-1509/r.2024.04.025 |
| 中文关键词: ASOTLF 双平面穿刺 经皮椎体后凸成形术 |
| 英文关键词:ASOTLF double plane puncture percutaneous kyphoplasty |
| 基金项目:皖南医学院校级科研顶目(JXYY202278) |
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| 中文摘要: |
| 目的探讨双平面穿刺经皮椎体后凸成形术(PKP)治疗急性症状性骨质疏松性椎体压缩骨折(ASOTLF)的疗效。 方法选择行PKP手术的ASOTLF患者85例,按照不同穿刺方法分为观察组(双平面穿刺)和对照组(传统单侧穿刺)。比较两组手术时间、术中透视次数、骨水泥注入量、骨水泥渗漏率、骨水泥分布均匀度、功能恢复和疼痛改善情况。 结果与对照组比较,观察组手术时间明显更长,术中透视次数明显更多(P＜0.05)。观察组骨水泥分布均匀度明显高于对照组(P＜0.05),两组其余手术相关指标比较,差异均无统计学意义(P＞0.05)。两组术后1天、术后12月的伤椎前缘高度明显高于术前(P＜0.05),Cobb角明显小于术前(P＜0.05)。手术前、术后1天、术后12月,观察组与对照组伤椎前缘高度和伤椎Cobb角比较差异均无显著性(P＞0.05)。两组术后1天、术后12月的VAS、ODI明显低于术前(P＜0.05)。手术前、术后1天、术后12月,观察组与对照组VAS评分和ODI比较差异均无显著性(P＞0.05)。 结论双平面穿刺PKP治疗ASOTLF疗效满意,且双平面穿刺入路骨水泥分布均匀程度更好。 |
| 英文摘要: |
| AimTo investigate the effect of percutaneous kyphoplasty (PKP) in the treatment of patients with acute symptomatic osteoporotic vertebral compression fractures (ASOTLF). MethodsA total of 85 patients with ASOTLF undergoing PKP were selected and divided into observation group (traditional unilateral puncture) and control group (biplane puncture) according to different puncture methods. The operation time, intraoperative fluoroscopy times, bone cement injection volume, bone cement leakage rate, bone cement distribution uniformity, functional recovery and pain improvement were compared between the two groups. ResultsCompared with the control group, the operation time of the observation group was significantly longer, and the number of intraoperative fluoroscopy was significantly more (P＜0.05). The uniformity of bone cement in the observation group was significantly higher than that in the control group (P＜0.05). There was no significant difference in other surgical related indexes between the two groups (P＞0.05). The height of the anterior edge of the injured vertebrae at 1 day and 12 months after operation was significantly higher than that before operation (P＜0.05), and the Cobb angle was significantly smaller than that before operation (P＜0.05). There was no significant difference in the height of the anterior edge of the injured vertebra and the Cobb angle of the injured vertebra between the observation group and the control group before operation, 1 day after operation and 12 months after operation (P＞0.05).The VAS and ODI scores of the two groups at 1 day and 12 months after operation were significantly lower than those before operation (P＜0.05). There was no significant difference in VAS score and ODI between the observation group and the control group before operation, 1 day after operation and 12 months after operation (P＞0.05). ConclusionThe effect of biplane puncture PKP in the treatment of ASOTLF is satisfactory, and the uniformity of bone cement distribution in biplane puncture approach is better. |
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