| 球囊多点扩张PKP术治疗骨质疏松性胸腰椎压缩性骨折的临床疗效分析 |
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| 引用本文： | 张磊,李建平.球囊多点扩张PKP术治疗骨质疏松性胸腰椎压缩性骨折的临床疗效分析[J].蚌埠医学院学报,2020,45(12):1632-1635, 1638. |
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| 作者姓名： | 张磊 李建平 |
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| 作者单位： | 1.武汉大学人民医院汉川医院, 湖北省汉川市人民医院 骨科, 4300002.武汉大学人民医院 骨科, 湖北 武汉 430000 |
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| 基金项目： | 中央高校基本科研业务费专项资金项目2042016kf0095 |
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| 摘 要： | 目的探讨球囊多点扩张经皮椎体后凸成形术（PKP）治疗骨质疏松性胸腰椎压缩性骨折（OVCF）的临床疗效。方法对84例OVCF病人的病历资料进行回顾性分析，其中行球囊多点扩张PKP术治疗病人44例为多点扩张组，单次球囊扩张PKP术治疗病人40例为单次扩张组，比较2组病人围手术期相关指标，术前、术后当天、末次随访Cobb角、椎体前缘高度比以及疼痛视觉模拟（VAS）评分，及术后相关并发症发生情况。结果2组病人住院时间、放射暴露时间差异均无统计学意义（P>0.05），多点扩张组手术时间、骨水泥注入量高于单次扩张组，差异均有统计学意义（P < 0.01）。2组术后当天、末次随访Cobb角、VAS评分均较术前降低，椎体前缘高比均较术前增高，差异均有统计学意义（P < 0.05~P < 0.01）；多点扩张组末次随访Cobb角低于单次扩张组、椎体前缘高比高于单次扩张组，差异均有统计学意义（P < 0.01）。2组术后并发症发生情况差异无统计学意义（P>0.05）。结论球囊多点扩张PKP术治疗OVCF能增加骨水泥灌注量，有助于减少术后远期椎体高度及Cobb角丢失。
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| 关 键 词： | 胸腰椎压缩性骨折 骨质疏松 经皮椎体后凸成形术 球囊多点扩张 |
| 收稿时间： | 2020-01-01 |
Clinical effect analysis of balloon multipoint dilatation PKP in the treatment of osteoporotic vertebral compression fractures |
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| Affiliation: | 1.Department of Orthopedics, Hanchuan Hospital, The People's Hospital of Wuhan University, Hanchuan People's Hospital, Hanchuan Hubei 4300002.Department of Orthopaedics, The People's Hospital of Wuhan University, Wuhan Hubei 430000, China |
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| Abstract: | ObjectiveTo investigate the clinical efficacy of balloon multipoint dilatation percutaneous kyphoplasty(PKP)in the treatment of osteoporotic vertebral compression fractures(OVCF).MethodsThe clinical data of 84 patients with OVCF were retrospectively analyzed.Forty-four patients treated with balloon multipoint dilatation PKP and 40 patients treated with single balloon dilation PKP were divided into the multipoint dilatation group and single dilatation group, respectively.The perioperative indicators, Cobb angle of before surgery, day after surgery and last follow-up, anterior vertebral height ratio, visual analogue scale(VAS)score, and postoperative complications were compared between two groups.ResultsThe differences of the hospitalization time and radiation exposure time between two groups were not statistically significant(P>0.05), and the differences of the operation time and bone cement injection volume in multipoint dilatation group were higher than those in single dilatation group(P < 0.01).On the day after operation and at the last follow-up, the Cobb angle and VAS score in two groups were lower than those before operation, and the anterior vertebral height ratio was higher than that before operation(P < 0.05 to P < 0.01).At the last follow-up, the Cobb angle in multipoint dilatation group was lower than that in single dilatation group, and the anterior vertebral height ratio in multipoint dilatation group was higher than that in single dilatation group(P < 0.01).There was no statistical significe in postoperative complications between two groups(P>0.05).ConclusionsThe balloon multipoint dilatation PKP treating OVCF can increase the amount of bone cement perfusion, and reduce the long-term loss of vertebral height and Cobb angle. |
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