摘要
目的 探讨双侧分层入路经皮椎体成形术对比单纯单/双侧入路治疗胸腰椎压缩性骨折的疗效.方法 收集2017年12月至2019年6月于本院行经皮锥体成形术治疗的73例腰椎压缩性骨折患者作为研究对象,按入路分为A组(双侧分层入路)、B组(单纯单侧入路)及C组(单纯双侧入路),观察三组患者术中情况及疗效.结果 术后5 d三组椎体后凸Cobb角、ODI指数级VAS评分较术前有改善(P<0.05),且A组小于B组、C组;术后A组骨水泥弥散至双侧上下终板显著高于B组和C组,A组和C组的骨水泥注射量均高于B组,A组和C组手术时长长于B组(P<0.05).结论 双侧分层入路经皮椎体成形术治疗各类胸腰椎压缩性效果更佳,值得推广应用.
Objective To investigate the curative effect and l ong-tem fllow-up of bilateral stratifed percutaneous vertebroplasty compared with simple unilateral/bilateral approach in the treatment of thoracolumbar compression fractures.Methods Seventy-three patients with lumbar compression factures treated with percutaneous cone plasty in our hospital from June 2018 to December 2019 were cleted as study subjesand divided into group A(bilateral stratified approach,n=25),group B(simple unilateral approach,n=37)and group C(simple bilateral approach,n=31)according to the approach to observe the intraoperative conditions and eficacy of patients in the three groups.Results At 5 d postoperatively,the posterior convexity Cobb angle and ODI index level VAS scores of the three groups improved compared with those before surgery(P<0.05),and group A was smaller than groups B and C.Postoperatively,the bone cement difusion to the bilateral upper and lower endplates was significantly higher in group A than in groups B and C.The amount of bone cement injection was higher in both groups A and C than in group B,and the operation time was longer in groups A and C than in group B(P<0.05).Conclusion Bilateral split-level approach percutaneous vertebroplasty has better results in the treatment of various types of thoracolumbar compresion and is worth promoting.
出处
《浙江临床医学》
2022年第8期1170-1172,共3页
Zhejiang Clinical Medical Journal
关键词
经皮椎体成形术
胸椎
腰椎
压缩性骨折
手术入路
Percutaneous vertebroplasty
Thoracic vertebra
Lumbar vertebra
Compression facture
Surgical approach
