摘要
目的探讨单入路球囊扩张椎体成形术与闭合手法复位后单纯经皮椎体成形术治疗老年胸腰椎(单节段)骨折的疗效差异。方法 67例新鲜老年胸腰椎骨折中38例行单入路球囊扩张椎体后凸成形术,其余29例行闭合手法复位后单纯行经皮椎体成形术,比较两组患者的手术时间、透视次数、VAS评分、脊柱后凸畸形矫正和椎体高度恢复情况、并发症及随访情况。结果 B组患者的手术时间明显短于A组(P<0.05)。且B组患者的透视次数明显少于A组(P<0.05)。A组、B组的术后VAS分别较术前明显降低(P<0.05),但A组、B组术后VAS评分组间比较,P>0.05。A组、B组脊柱后凸畸形Cobb角术前组间比较,P>0.05。A组、B组脊柱后凸畸形Cobb角术后分别与术前比较,P<0.05,但术后A组、B组脊柱后凸畸形Cobb角组间比较,P>0.05。A组、B组伤椎前缘丢失百分数术前组间比较,P>0.05。A组、B组伤椎前缘丢失百分数术后分别与术前比较,P<0.05,但术后A组、B组伤椎前缘丢失百分数组间比较,P>0.05。结论单入路球囊扩张椎体后凸成形术与手法复位经皮椎体成形术治疗老年胸腰椎压缩性骨折(单位节段)疗效相似,后者较前者能减少手术时间和放射暴露。
Objective To compare the efficacy and safety of unilateral balloon kyphoplasty and manual reduction combined with percutaneous vertebroplasty in the treatment for Aged thoracic-lumbar vertebrae （single segment） compression fractures. Methods Among 67 patients with fresh thoracic-lumbar vertebrae compression fractures,38 patients suffered from vertebrae compression fractures were treated with unilateral balloon kyphoplasty, 29 patients were given percutaneous vertebroplasty after manipulative reduction. The operative time, fluoroscopy times, VAS score, kyphosis correction and vertebral height restoration, complications and follow-up cases were compared. Results Group B was significantly shorter than group A of operating time （P〈0.05）.And group B was significantly less than the number of patients group A in perspective （P〈0.05）. Postoperative VAS of group A and group B were significantly lower than before surgery （P〈0.05）, but the postoperative VAS score of A group compared with B group,P〉0.05. Kyphosis preoperative Cobb angle of A group, B group,P〉0.05, postoperative Cobb angle of kyphosis in A group, B group, respectively, compared with the preoperative,P〈0.05, but the postoperative kyphosis Cobb angle of group A and B group,P〉0.05.The percentage loss of vertebral edge preoperative of A group and B group,P〉0.05, the percentage loss of vertebral edge, respectively, compared with the preoperative patients of A group, B group,P〈0.05, but the percentage of vertebral edge of A group and B group, P〉0.05. Conclusion The unilateral balloon kyphoplasty has the similar effect as that manual reduction combined with percutaneous vertebroplasty in the treatment for Aged thoracic-lumbar vertebrae compression fractures, but the latter could reduce the operation time and the radioactive exposure.
出处
《中国现代医生》
2014年第3期20-22,共3页
China Modern Doctor
基金
浙江省自然科学基金项目(Y2080991)
关键词
老年胸腰椎压缩性骨折
单入路球囊后凸椎体成形术
闭合手法复位
Elderly thoracolumbar vertebral compression fractures
Vertebral kyphosis single approach balloon angioplasty
Closed manipulative reduction
