摘要
目的:观察垫枕复位联合单侧球囊扩张椎体后凸成形术(PKP)与单纯单侧PKP治疗骨质疏松性腰胸椎压缩性骨折的临床疗效。方法:骨质疏松性胸腰椎压缩骨折患者89例中采用垫枕复位联合单侧PKP治疗者43例(A组),单侧PKP治疗者46例(B组)。分析手术前及术后24小时患者视觉模拟疼痛评分(VAS)、伤椎椎体前缘高度、后凸cobb角的X线片测量及骨水泥弥散情况。结果:术后症状缓解、神经损伤、骨水泥渗漏并发症2组比较差异无统计学意义(P>0.05)。2组手术前后VAS评分比较差异有统计学意义(P<0.05);2组术后24小时伤椎前缘高度恢复比较差异有统计学意义(P<0.05);2组术后后凸Cobb角比较差异有统计学意义(P<0.05)。结论:垫枕复位联合单侧PKP与单侧PKP方法均可显著缓解椎体压缩骨折患者的疼痛,垫枕复位联合单侧PKP在矫正椎体高度、改善后凸畸形方面较单侧PKP方法好,具有更好的复位效果;骨水泥渗漏发生率2组相当。
Objective：To explore curative effects of pillow reduction combined with unilateral PKP and mere unilateral PKP in treating osteoporotic thoracolumbar vertebral compression fractures. Methods：Among 89 patients with osteoporotic thoracolumbar vertebral compression fractures, 43 cases adopted pillow reduction combined with unilateral PKP（A group）, and 46 cases were treated with unilateral PKP （B group）. VAS, anterior vertebral height, X ray measurement of kyphosis cobb angle and bone cement dispersion conditions of the patients were analyzed before and in 24 hours after the operation. Results：The difference had no statistical meanning in the comparisons of symp-toms relief after the surgery, neural lesions and the complications caused by bone cement dispersion between both groups （P〉0.05）. The difference showed statistical meaning in the comparison of VAS scales before and after the surgery（P〈0.05）;the difference had statistical meaning in the comparison of anterior vertebral height recovery after the surgery within 24 hours after the operation（P〈0.05）;the difference showed statistical meaning in the comparison of kyphosis Cobb angle after the operations between both groups （P〈0.05）. Conclusion：Pillow reduction combined with unilateral PKP and mere unilateral PKP could ease the pain of the patients notably, pillow reduction combined with unilateral PKP is better than unilateral PKP in improving kyphosis cobb angle malformation, and the therapy shows better reduction effects, and both groups are equivalent in the incidences of bone cement leakage.
作者
韩宪富
邓强
李中锋
杨镇源
彭冉东
HAN Xianfu DENG Qiang LI Zhonfeng YANG Zhenyuan PENG Randong(Gansu University of Traditional Chinese Medicine, Lanzhou 730000, China Gansu Provincial Hospital of Traditional Chinese Medicine)
出处
《西部中医药》
2017年第3期99-101,共3页
Western Journal of Traditional Chinese Medicine
基金
卫生部医药卫生科技发展研究中心课题(编号W2014ZT210)
关键词
胸腰椎压缩性骨折
垫枕复位
单侧PKP
osteoporotic thoracolumbar vertebral compression fracture
pillow reduction
unilateral PKP
