绝经后妇女PKP术后再发骨折的危险因素分析

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英文篇名：Risk Factors of Recurrent Fracture After PKP in Postmenopausal Women 作者：吴钒 ; 吴华珍 ; 李志钢 ; 侯莹 ; 洪泽亚 ; 吴恒 英文作者：WU Fan;WU Huazhen;LI Zhigang;HOU Ying;HONG Zeya;WU Heng;Department of Orthopedics, Hubei Provincial Hospital of Integrated Chinese & Western Medicine/Xinhua Hospital Affiliated to Hubei University of Traditional Chinese Medicine;Graduate School of Hubei University of Traditional Chinese Medicine; 关键词：经皮球囊扩张椎体后凸成形术 ; 绝经后妇女 ; 骨质疏松 ; 椎体骨折 ; 再发骨折 ; 危险因素 英文关键词：percutaneous kyphoplasty;;postmenopausal women;;osteoporosis;;vertebral fractures;;recurrence fracture;;risk factors 中文刊名：JXUY 英文刊名：China Continuing Medical Education 机构：湖北省中西医结合医院/湖北省中医药大学附属新华医院骨科;湖北省中医药大学研究生院; 出版日期：2019-07-20 出版单位：中国继续医学教育 年：2019 期：v.11 基金：湖北省中西医结合医院院级科研项目 语种：中文; 页：JXUY201920043 页数：3 CN：20 ISSN：11-5709/R 分类号：113-115

摘要

目的探讨绝经后妇女椎体骨折PKP术后再次骨折的危险因素。方法回顾性分析我院2014年1月—2017年1月179例绝经后妇女椎体骨折行PKP术治疗的患者;根据术后随访结果是否再次发生椎体骨折,将其分为骨折组与对照组。根据两组患者的一般资料和相关检查结果分析其相关的危险因素。结果共有24例患者再次发生椎体骨折,再发骨折的概率为13.41%;年龄(OR:2.615,95%CI:1.076～6.324)、骨密度(OR:2.378,95%CI:1.725～3.564)、单节骨水泥量(OR:1.617,95%CI:0.764～3.627)、手术前后的高度变化(OR:2.202,95%CI:1.634～3.087)、后凸角变化(OR:2.568,95%CI:1.806～3.235)和骨折位于胸腰椎交界区(OR:2.746,95%CI:1.834～3.326)均为PKP术后再发骨折的独立危险因素。结论年龄、骨密度、单节骨水泥量、手术前后的高度和后凸角变化、骨折位于胸腰椎交界区是PKP术后再发骨折的危险因素。
        Objective To study the risk factors of postoperative fracture forvertebral fragility fractures in postmenopausal women after percutaneous kyphplasty. Methods A retrospective analysis was made of179 postmenopausal women with vertebral fracture treated by PKP from January 2014 to January 2017. According to the follow-up results, the patients were divided into fracture group and control group. The risk factors were analyzed according to the general data of the two groups and the results of related examinations. Results A total of 24 patients suffered from vertebral fracture again, and the probability of recurrence was 13.41%. Age(OR: 2.615, 95% CI: 1.076～6.324), bone mineral density(OR: 2.378, 95%CI: 1.725 ～ 3.564), single bone cement volume(OR: 1.617, 95% CI: 0.764～ 3.627), height change before and after operation(OR: 2.202, 95% CI:1.634 ～ 3.087), kyphosis angle change(OR: 2.568, 95% CI: 1.806～3.235)and fracture location The thoracolumbar junction(OR: 2.746, 95% CI:1.834 ～ 3.326) was an independent risk factor for recurrent fracture after PKP. Conclusion Age, bone mineral density, amount of single bone cement,height and kyphosis before and after operation, and the location of fracture at the junction of thoracolumbar spine are risk factors for recurrent fracture after PKP.

引文

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