摘要
目的对比经皮椎体成形术(PVP)和经皮后凸成形术(PKP)治疗伴有裂隙样变的骨质疏松性椎体压缩骨折(OVCFs)的疗效。方法选取2011年1月~2012年12月在北京积水潭医院经影像学证实存在椎体内裂隙样变的OVCFs患者,将接受PVP手术的患者归入A组(n=151),PKP手术的患者归入B组(n=113),比较两组骨水泥注入量、骨水泥渗漏发生率以及疼痛改善率。结果 A、B组骨水泥注入量分别为(5.50±0.04)m L和(5.80±0.06)m L,P>0.05。A、B组骨水泥渗漏发生率分别为5.3%和4.4%,P>0.05。A、B两组疼痛改善率在离院时分别为86.50%±0.07%和88.20%±0.04%,P>0.05;术后1 a时,A、B组疼痛改善率分别为84.70%±0.03%和86.80%±0.06%,P>0.05。结论椎体内裂隙有利于骨水泥安全注入,并降低其渗漏的风险,从而使PVP和PKP的疗效相当。
Objective To compare the effects of percutaneous vertebroplasty( PVP) or percutaneous kyphoplasty( PKP) to treat osteoporotic vertebral compression fractures( OVCFs) with intravertebral cleft( IVC). Methods OVCFs with IVC patients were divided into group A( PVP procedure,n = 151) and group B( PKP operation,n = 113). The cement volume,leakage incidence,pain-improvement rate between the two groups were compared. Results The cement volume in group A and B were( 5. 50 ± 0. 04) m L and( 5. 80 ± 0. 06) m L,P > 0. 05). The leakage incidence in group A and B were 5. 3%( 8 /151) and 4. 4%( 5 /113),P > 0. 05. The average pain improvement rate on discharge in group A and B were 86. 50% ± 0. 07% and 88. 20% ± 0. 04%,P > 0. 05; while on the one year postoperatively,the results were84. 70% ± 0. 03% and 86. 80% ± 0. 06%,P > 0. 05. Conclusion IVC can benefit the cement insertion and decrease the risk of leakage,which make the treatment effect between PVP and PKP similar.
出处
《山东医药》
CAS
北大核心
2015年第4期1-3,共3页
Shandong Medical Journal
基金
卫生部国家科技支撑计划项目(2012BAI10B00)
北京市医院管理局重点医学专业项目(ZYLX201405)
