不同黏度骨水泥椎体成形术治疗骨质疏松性椎体压缩性骨折的比较研究
|
摘要
目的:评价不同黏度骨水泥椎体成形术治疗骨质疏松性椎体压缩性骨折的临床疗效。方法:将76例骨质疏松性椎体压缩性骨折的患者根据入院先后顺序分为观察1组和观察2组,对观察1组实施低黏度骨水泥椎体成形术治疗,对观察2组实施高黏度骨水泥椎体成形术治疗,比较两组术前、术后1个月、术后3个月的腰痛功能障碍(ODI)评分、腰椎功能(JOA)评分及术后骨水泥渗漏情况。结果:观察1组术前、术后1个月的腰痛ODI评分、腰椎JOA评分与观察2组比较差异均无统计学意义(P> 0. 05);术后3个月的腰痛ODI评分较观察2组高(P <0. 05),腰椎JOA评分较观察2组低(P <0. 05),术后骨水泥渗漏发生率较观察2组高(P <0. 05)。结论:与低黏度骨水泥椎体成形术比较,高黏度骨水泥椎体成形术治疗骨质疏松性椎体压缩性骨折的骨水泥渗漏发生率更低,远期疗效更确切。
Objective: To evaluate the clinical efficacy of cementing vertebroplasty with different viscosities in the treatment of osteoporotic vertebral compressibility fractures. Methods: All 76 cases of patients with osteoporotic vertebral compression fractures according to time order divided into observation group 1 and observation group 2 hospital group,the observation group 1 was treated by low-viscosity bone cement vertebroplasty,the observation group 2 was treated by high-viscosity bone cement vertebroplasty. Low back pain,low back pain dysfunction( ODI) score,lumbar spine functional disorder( JOA) score and postoperative cement leakage were compared between the two groups before,1 month and 3 months after operation. vertebral body bone cement for low viscosity,high viscosity bone cement for observing two groups vertebral plasty treatment,compared two groups of preoperative and postoperative 1 month,3 months after operation of lumbago waist pain dysfunction( ODI)score,lumbar JOA( lumbar function) score and postoperative leakage of bone cement. Results: There was no significant difference between observation group 1 and observation group 2 in the low back pain ODI score,lumbar spine JOA score of,there was no significient difference( P > 0. 05). The ODI score of low back pain in observation group 1 was higher than that in observation group 2( P < 0. 05),and the JOA score in lumbar vertebra was lower than that in observation group 2( P < 0. 05).The incidence of postoperative cement leakage was 2 8. 9 5 %,which was higher than that of the observation group( 7. 8 9 %)( P < 0. 05). The observation group of preoperative and postoperative 1 months of lumbago ODI score,lumbar JOA score compared with observed two groups had no obvious difference( P > 0. 05),after 3 months of lumbago ODI score high in the observed two group( P < 0. 05) and lumbar JOA score was lower than those of observing two groups( P < 0. 05),the incidence of postoperative leakage of bone cement was higher than observation group 2( P < 0. 05). Conclusion: Compared with low-viscosity bone cement vertebroplasty,high-viscosity bone cement vertebroplasty for the treatment of osteoporotic vertebral compression fractures has a lower incidence of cement leakage,and the long-term effect is more accurate.
Objective: To evaluate the clinical efficacy of cementing vertebroplasty with different viscosities in the treatment of osteoporotic vertebral compressibility fractures. Methods: All 76 cases of patients with osteoporotic vertebral compression fractures according to time order divided into observation group 1 and observation group 2 hospital group,the observation group 1 was treated by low-viscosity bone cement vertebroplasty,the observation group 2 was treated by high-viscosity bone cement vertebroplasty. Low back pain,low back pain dysfunction( ODI) score,lumbar spine functional disorder( JOA) score and postoperative cement leakage were compared between the two groups before,1 month and 3 months after operation. vertebral body bone cement for low viscosity,high viscosity bone cement for observing two groups vertebral plasty treatment,compared two groups of preoperative and postoperative 1 month,3 months after operation of lumbago waist pain dysfunction( ODI)score,lumbar JOA( lumbar function) score and postoperative leakage of bone cement. Results: There was no significant difference between observation group 1 and observation group 2 in the low back pain ODI score,lumbar spine JOA score of,there was no significient difference( P > 0. 05). The ODI score of low back pain in observation group 1 was higher than that in observation group 2( P < 0. 05),and the JOA score in lumbar vertebra was lower than that in observation group 2( P < 0. 05).The incidence of postoperative cement leakage was 2 8. 9 5 %,which was higher than that of the observation group( 7. 8 9 %)( P < 0. 05). The observation group of preoperative and postoperative 1 months of lumbago ODI score,lumbar JOA score compared with observed two groups had no obvious difference( P > 0. 05),after 3 months of lumbago ODI score high in the observed two group( P < 0. 05) and lumbar JOA score was lower than those of observing two groups( P < 0. 05),the incidence of postoperative leakage of bone cement was higher than observation group 2( P < 0. 05). Conclusion: Compared with low-viscosity bone cement vertebroplasty,high-viscosity bone cement vertebroplasty for the treatment of osteoporotic vertebral compression fractures has a lower incidence of cement leakage,and the long-term effect is more accurate.
引文
[1]张亮,王静成,冯新民,等.高黏度骨水泥椎体成形术与普通黏度椎体后凸成形术治疗骨质疏松性椎体压缩性骨折的效果比较[J].中国老年学杂志,2017,37(18):4601-4603.
[2]王永宏,王成虎,郭永林,等.高黏度骨水泥椎体成形术治疗骨质疏松性椎体压缩骨折的疗效分析[J].中国中医骨伤科杂志,2016,24(7):50-52.
[3]李政,何燕飞,汪晓宁,等. Confidence高黏度骨水泥椎体成形术联合过伸体位复位在骨质疏松性椎体压缩骨折的临床应用[J].颈腰痛杂志,2017,38(3):261-264.
[4]穆小平,易伟林,韦建勋,等.高黏度与普通黏度骨水泥椎体成形系统修复骨质疏松性椎体压缩性骨折的荟萃分析[J].中国组织工程研究,2017,21(2):322-328.
[5]龚成,郭伟,李艺,等.下腰痛患者脊柱活动度、等长肌力与ODI评分之间的相关性研究[J].空军医学杂志,2017,33(5):312-314.
[6]黄吉利,罗明,潘捷,等.经Wiltse肌间隙入路椎弓根内固定术治疗老年胸腰椎骨折效果评价[J].创伤外科杂志,2016,18(6):338-341.
[7]张愈峰,龚辉,侍德.过伸体位复位联合Confidence高黏度椎体骨水泥椎体成形术治疗椎体骨质疏松压缩性骨折[J].中国矫形外科杂志,2016,24(2):110-113.
[8] WANG C H,MA J Z,ZHANG C C,et al. Comparison of high-viscosity cement vertebroplasty and balloon kyphoplasty for the treatment of osteoporotic vertebral compression fractures[J]. Pain Physician,2015,18(2):187-194.
[9] DING J,ZHANG Q,ZHU J,et al. Risk factors for predicting cement leakage following percutaneous vertebroplasty for osteoporotic vertebral compression fractures[J]. European Spine Journal,2016,25(11):3411-3417.
[10] ZHANG L,LIU Z,WANG J,et al. Unipedicular versus bipedicular percutaneous vertebroplasty for osteoporotic vertebral compression fractures:a prospective randomized study[J]. Bmc Musculoskeletal Disorders,2015,16(1):145.
[2]王永宏,王成虎,郭永林,等.高黏度骨水泥椎体成形术治疗骨质疏松性椎体压缩骨折的疗效分析[J].中国中医骨伤科杂志,2016,24(7):50-52.
[3]李政,何燕飞,汪晓宁,等. Confidence高黏度骨水泥椎体成形术联合过伸体位复位在骨质疏松性椎体压缩骨折的临床应用[J].颈腰痛杂志,2017,38(3):261-264.
[4]穆小平,易伟林,韦建勋,等.高黏度与普通黏度骨水泥椎体成形系统修复骨质疏松性椎体压缩性骨折的荟萃分析[J].中国组织工程研究,2017,21(2):322-328.
[5]龚成,郭伟,李艺,等.下腰痛患者脊柱活动度、等长肌力与ODI评分之间的相关性研究[J].空军医学杂志,2017,33(5):312-314.
[6]黄吉利,罗明,潘捷,等.经Wiltse肌间隙入路椎弓根内固定术治疗老年胸腰椎骨折效果评价[J].创伤外科杂志,2016,18(6):338-341.
[7]张愈峰,龚辉,侍德.过伸体位复位联合Confidence高黏度椎体骨水泥椎体成形术治疗椎体骨质疏松压缩性骨折[J].中国矫形外科杂志,2016,24(2):110-113.
[8] WANG C H,MA J Z,ZHANG C C,et al. Comparison of high-viscosity cement vertebroplasty and balloon kyphoplasty for the treatment of osteoporotic vertebral compression fractures[J]. Pain Physician,2015,18(2):187-194.
[9] DING J,ZHANG Q,ZHU J,et al. Risk factors for predicting cement leakage following percutaneous vertebroplasty for osteoporotic vertebral compression fractures[J]. European Spine Journal,2016,25(11):3411-3417.
[10] ZHANG L,LIU Z,WANG J,et al. Unipedicular versus bipedicular percutaneous vertebroplasty for osteoporotic vertebral compression fractures:a prospective randomized study[J]. Bmc Musculoskeletal Disorders,2015,16(1):145.
© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号 地址：北京市海淀区学院路29号 邮编：100083 电话：办公室：(+86 10)66554848；文献借阅、咨询服务、科技查新：66554700 |