摘要
目的分析单侧弯角椎体成形术治疗骨质疏松性椎体压缩骨折的效果。方法选择2014年3月至2017年5月该院收治的82例骨质疏松性椎体压缩骨折患者为研究对象,观察组38例患者采用单侧弯角椎体成形术进行治疗,对照组44例患者采用单侧直行入路椎体成形术进行治疗。比较两组患者的手术情况、并发症发生情况、疼痛情况和功能障碍指数。结果两组患者的手术时间比较,差异无统计学意义(P>0.05)。观察组患者透视次数明显少于对照组患者,骨水泥灌注量明显多于对照组患者,差异有统计学意义(P<0.05)。观察组患者椎体渗漏、骨水泥分布不佳、椎体脆性骨折发生率,以及并发症总发生率均明显低于对照组患者,差异均有统计学意义(P<0.05)。两组患者术前及术后3个月的疼痛评分比较,差异无统计学意义(P>0.05)。两组患者术后3个月的功能障碍指数明显低于术前,差异有统计学意义(P<0.05)。观察组患者术后3个月的功能障碍指数明显低于对照组患者,差异有统计学意义(P<0.05)。结论单侧弯角椎体成形术和单侧直行入路椎体成形术均能有效缓解骨质疏松性椎体压缩骨折患者强烈的腰背疼痛感,但单侧弯角椎体成形术并发症发生率及功能障碍指数更低,具有较高的安全性,适合临床推广。
Objective To explore the effect of osteoporotic spinal compression fractures under unilateral curved vertebroplasty.Methods A total of 82 patients with osteoporotic spinal compression fracture who were treated in our hospital from March 2014 to May 2017 were retrospectively analyzed.38 patients who underwent unilateral curved vertebroplasty were observed.Forty-four patients who underwent unilateral straight vertebroplasty were included in the control group.Surgery,complications,and pain and dysfunction index were observed and compared between the two groups.Results There was no significant difference in the operation time between the two groups.The data were not statistically significant(P>0.05).The number of fluoroscopy in the observation group was significantly lower than that in the control group,and the data were statistically significant(P<0.05).The bone cement perfusion volume in the observation group was significantly higher than that in the control group,and the data were statistically significant(P<0.05).The incidence of vertebral body leakage,poor bone cement distribution and vertebral brittle fracture in the observation group was significantly lower than that in the control group(P<0.05).The total incidence of complications in the observation group was 7.89%,which was significantly lower than that in the control group(47.73%).The data were statistically significant(P<0.05).The pain scores of the two groups were significantly lower than those before surgery(P>0.05).The dysfunction index of the two groups was significantly lower than that of the preoperative three months after surgery,and the data were statistically significant(P<0.05).The dysfunction index was significantly lower in the observation group than in the control group,and the data were statistically significant(P<0.05).Conclusion Unilateral curved vertebroplasty and unilateral straight vertebroplasty can effectively alleviate the patient′s strong low back pain,lower complication rate,higher safety,and suitable for clinical promotion.
作者
王华祥
王双全
WANG Huaxiang;WANG Shuangquan(the Fourth Department of Orthopaedics,Dazhou Orthopedic Hospital,Dazhou,Sichuan 635000,China)
出处
《检验医学与临床》
CAS
2019年第17期2490-2492,共3页
Laboratory Medicine and Clinic
