摘要
目的比较单侧与双侧椎弓根入路椎体成形术治疗Kummell＇s病的临床疗效与安全性。方法回顾分析2006年1月~2011年1月行椎体成形术的Kummell＇s病患者,对比单侧与双侧椎弓根入路患者的临床疗效、手术时间、骨水泥灌注量、骨水泥渗漏率、骨折椎体高度恢复程度及后凸矫正度数。结果单侧组手术时间明显短于双侧组（P〈0.05）,两组间骨水泥注入量、渗漏率、术后椎体前缘压缩改善程度、椎体中央压缩改善程度及后凸矫正度数、随访VAS评分差异均无统计学意义（P〉0.05）。两组术后24 h、术后3个月及末次随访时VAS评分均明显低于术前,差异均有统计学意义（P〈0.05）。结论单侧及双侧经椎弓根入路椎体成形术在治疗Kummell＇s病时均可取得满意的止痛效果,两者临床疗效无显著差异。在PVP治疗Kummell＇s病时采用单侧穿刺即可。
Objective To compare the clinical efficacy and safety of percutaneous vertebroplasty by unipedicular and bipedicular approach for treatment of Kummelrs disease. Methods The clinical data of patients with Kummell＇s disease undergoing percutaneous vertebroplasty via unilateral or bilateral approach between January, 2006 and January, 2011 were reviewed. The clinical efficacy, operation time, bone cement injection volume, incidence of cement leakage, degree of vertebral height restoration, and degree of kyphosis correction were compared between the patients receiving surgery via the two approaches. Results The operation time was shorter in the unipedicular group than in the bipedicular group （P〈0.05）, but bone cement injection volume, incidence of cement leakage, degree of anterior vertebral height restoration, degree of middle vertebral height restoration, degree of kyphosis correction, and VAS scores were all comparable between the two groups （P〉 0.05）. In both groups, the VAS scores at 24 h, 3 months and at the last follow-up after the surgery were lowered compared to the preoperative scores （P〈0.05）. Conclusion Both unipedicular and bipedicular percutaneous vertebroplasty can achieve satisfactory analgesia in the treatment of Kummell＇s disease with similar clinical efficacy. The unipedicular approach is sufficient for treatment of Kummell＇s disease.
出处
《南方医科大学学报》
CAS
CSCD
北大核心
2014年第9期1370-1374,共5页
Journal of Southern Medical University
