本文選題：骨質疏松性胸腰椎壓縮骨折　切入點：椎體成形術　出處：《中國脊柱脊髓雜志》2017年07期 　論文類型：期刊論文

【摘要】：目的:探討應用彎角裝置單側穿刺行經(jīng)皮椎體后凸成形術(percutaneous vertebroplasty,PVP)治療骨質疏松性胸腰椎壓縮骨折(osteoporotic vertebral compression fractures,OVCFs)的臨床效果。方法:回顧性分析我院2015年1月~2016年1月應用彎角裝置行單側穿刺PVP治療的47例OVCFs患者的臨床資料,男14例,女33例;年齡53~89歲(66.4±6.5歲)。36例為單節(jié)段椎體骨折,11例為雙節(jié)段椎體骨折;骨折椎體:T9 7節(jié),T10 7節(jié),T11 9節(jié),T12 13節(jié),L1 12節(jié),L2 9節(jié),L3 1節(jié)。記錄術中透視時間、骨水泥用量,采用VAS評分、ODI評估手術前后疼痛程度及腰椎功能情況;測量計算手術前后傷椎相對高度,觀察局部后凸Cobb角恢復情況;觀察術中骨水泥滲漏(靜脈滲漏及椎體周圍滲漏)及其他并發(fā)癥的發(fā)生情況。結果:術中透視時間1.6±0.3min;骨水泥用量6.7±1.2ml,骨水泥分布均勻;11例患者術中出現(xiàn)骨水泥滲漏,骨水泥滲漏率為23.4%。術后隨訪3~12個月(6.5±1.3個月),術前、術后2d和末次隨訪時的VAS評分、ODI、傷椎相對高度及局部后凸Cobb角分別為:7.6±1.3分、(71.4±3.2)%、0.48±0.21、15.5°±4.2°;2.2±1.0分、(27.2±2.6)%、0.82±0.17、7.2°±2.8°;1.7±0.7分、(26.5±2.7)%、0.80±0.15、7.5°±3.7°;術后2d和末次隨訪時的VAS評分、ODI和局部后凸Cobb角均較術前明顯改善,傷椎相對高度較術前均明顯恢復,差異均有統(tǒng)計學意義(P0.05);術后2d與末次隨訪時比較差異均無統(tǒng)計學意義(P0.05)。結論:應用彎角裝置行單側穿刺PVP治療OVCFs可使骨水泥分布均勻,安全有效,臨床效果滿意。
[Abstract]:Objective: To investigate the application of corner device of unilateral puncture percutaneous kyphoplasty (percutaneous vertebroplasty, PVP) for the treatment of osteoporotic thoracolumbar vertebral compression fracture (osteoporotic vertebral compression fractures, OVCFs) clinical effect. Methods: a retrospective analysis of our hospital in January 2015 January ~2016 application of corner device for unilateral puncture in the treatment of PVP the clinical data of 47 cases of OVCFs patients, 14 were male, 33 were female; aged 53~89 (66.4 + 6.5).36 patients were single vertebral fractures, 11 cases of double vertebral fractures; fracture of vertebral body: T9 7, T10 7, T11 9, T12 13, L1 12 L2 L3, section 9, Section 1. Intraoperative fluoroscopy time, bone cement, using the VAS score and ODI assessment before and after surgery pain and lumbar function before and after surgery; measure vertebral relative height, kyphosis Cobb angle to observe the recovery; postoperative bone cement leakage (static 鑴夋笚婕忓強妞庝綋鍛ㄥ洿娓楁紡)鍙婂叾浠栧茍鍙戠棁鐨勫彂鐢熸儏鍐，

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