摘要
目的比较多节同时穿刺和逐节穿刺两种经皮椎体成形术（PVP）治疗多椎体骨质疏松压缩性骨折（OVCF）的疗效。方法回顾性分析2008年6月至2014年11月收治的89例多节段新鲜OVCF患者资料，根据方法不同分为观察组（采用多节椎体同时穿刺PVP术，n=51）和对照组（采用逐节椎体穿刺PVP术，n=38）。两组患者术前一般资料比较差异均无统计学意义（P〉0．05），具有可比性。术后比较两组患者的视觉模拟评分（VAS）、单个椎体平均手术时间、单个椎体平均透视次数、单个椎体平均骨水泥注射量和骨水泥渗漏情况。结果两组手术均顺利完成，未发生明显并发症。所有患者术后2d VAS评分均较术前改善，差异有统计学意义（P〈0．05）；观察组单个椎体平均手术时间、平均透视次数少于对照组，差异均有统计学意义（P〈0．05）；两组单个椎体平均骨水泥注射量、骨水泥渗漏情况比较，差异均无统计学意义（P〉0．05）。结论两种穿刺法PVP术均取得明显疗效，多节同时穿刺法较逐节穿刺法明显缩短手术时间、减少术中射线暴露，但骨水泥注射量、骨水泥渗漏并发症两种方法相仿。
Objective To compare the curative effects of multi-level puncture versus single-level puncture pereutaneous vertebroplasty（PVP） for treatment of multiple-level osteoporotie vertebral body compres- sion fractures（OVCF） in senile patients. Methods From June 2008 through November 2014, 89 senile patients with fresh multiple-level OVCF underwent PVP guided by C-arm fluoroscopy in prone position. Of them, 51 received PVP in which the vertebrae of multiple levels were simultaneously punctured for bone cement injection while the other 38 received PVP in which the vertebrae of multiple levels were punctured one by one for bone cement injection. The 2 groups were compatible with no significant differences in preoperative demographic data （P 〉 0.05）. The 2 groups were compared in terms of visual analgesic scale （VAS）, operation time for a single vertebra, fluoroscopy times for a single vertebra, bone cement injection amount for a single vertebra, and extraosseous cement leakage. Results PVP procedures were successful in both groups without serious complications. The VAS scores in both groups at 2 days post-operation were significantly lower than those at pre-operation （ P 〈 0. 05 ） . The operation time and fluoroscopy times for a single vertebra in the multi-level puncture PVP group were significantly less than those in the single-level puncture PVP group （ P 〈 0. 05）. There were no significant differences between the 2 groups in bone cement injection amount for a single vertebra or extraosseous cement leakage （ P 〉 0.05 ） . Conclusions The curative effects of multi-level puncture and single-level PVP are satisfactory for senile OVCF, but multi-level puncture PVP may lead to less operation time and less X-ray exposure.
出处
《中华创伤骨科杂志》
CAS
CSCD
北大核心
2016年第6期532-535,共4页
Chinese Journal of Orthopaedic Trauma
基金
湖北省自然科学基金面上项目（2014CFC1151）
关键词
椎体成形术
骨质疏松
骨折
压缩性
Vertebroplasty
Osteoporosis
Fractures, compression
作者简介
通信作者：吴桂华，Email：xjcwgh@sina．com
