经皮椎体成形术(PVP)是治疗骨质疏松性脊柱骨折的常用方法,主要穿刺方式有两种,一种是单侧经椎弓根入路或者椎弓根外侧入路穿刺,另一种为双侧经椎弓根入路穿刺。本研究旨在探讨这两种穿刺方式在治疗骨质疏松性脊柱骨折中的效能差异,包...经皮椎体成形术(PVP)是治疗骨质疏松性脊柱骨折的常用方法,主要穿刺方式有两种,一种是单侧经椎弓根入路或者椎弓根外侧入路穿刺,另一种为双侧经椎弓根入路穿刺。本研究旨在探讨这两种穿刺方式在治疗骨质疏松性脊柱骨折中的效能差异,包括手术相关指标、治疗效果、并发症等方面,以便为临床抉择提供依据。通过对相关文献的综合分析,发现单侧穿刺具有手术时间短、骨水泥用量少等优点,双侧穿刺在骨水泥弥散和疼痛缓解方面可能更具优势。术者可根据个人喜好以及患者的具体情况选择合适的穿刺方式。Percutaneous vertebroplasty (PVP) is a commonly used method for treating osteoporotic spinal fractures. There are two main puncture methods, one is unilateral transpedicular or lateral approach, and the other is bilateral transpedicular approach. This study aims to explore the difference in efficacy between these two puncture methods in the treatment of osteoporotic spinal fractures, including surgical indicators, treatment effects, complications, etc., in order to provide a basis for clinical decision-making. Through comprehensive analysis of relevant literature, it was found that unilateral puncture has the advantages of short operation time and less bone cement usage, and bilateral puncture may have more advantages in bone cement diffusion and pain relief. The surgeon can choose the appropriate puncture method according to personal preferences and the specific situation of the patient.展开更多
慢性腰腿疼痛性疾病是脊柱外科和疼痛科、康复医学科常见的临床病种之一,发病率高,致病因素多,治愈率低,复发率高,近年来通过对腰痛患者的原因分析与临床研究,发现青少年腰椎峡部裂是导致青少年腰痛的因素之一,因此,作者根据临床病例特...慢性腰腿疼痛性疾病是脊柱外科和疼痛科、康复医学科常见的临床病种之一,发病率高,致病因素多,治愈率低,复发率高,近年来通过对腰痛患者的原因分析与临床研究,发现青少年腰椎峡部裂是导致青少年腰痛的因素之一,因此,作者根据临床病例特征,参考相关文献,对腰椎峡部裂病因机制研究现状做了分析,供临床医师参考。Chronic lumbar and leg pain diseases are one of the common clinical diseases in spinal surgery, pain department, and rehabilitation medicine department. They have a high incidence rate, multiple pathogenic factors, low cure rate, and high recurrence rate. In recent years, through the analysis of the causes of lumbar pain patients and clinical research, it has been found that lumbar isthmus is one of the factors leading to lumbar pain in adolescents. Therefore, based on the characteristics of clinical cases and relevant literature, the author analyzed the current research status of the etiological mechanism of lumbar isthmus for reference by clinical physicians.展开更多
文摘经皮椎体成形术(PVP)是治疗骨质疏松性脊柱骨折的常用方法,主要穿刺方式有两种,一种是单侧经椎弓根入路或者椎弓根外侧入路穿刺,另一种为双侧经椎弓根入路穿刺。本研究旨在探讨这两种穿刺方式在治疗骨质疏松性脊柱骨折中的效能差异,包括手术相关指标、治疗效果、并发症等方面,以便为临床抉择提供依据。通过对相关文献的综合分析,发现单侧穿刺具有手术时间短、骨水泥用量少等优点,双侧穿刺在骨水泥弥散和疼痛缓解方面可能更具优势。术者可根据个人喜好以及患者的具体情况选择合适的穿刺方式。Percutaneous vertebroplasty (PVP) is a commonly used method for treating osteoporotic spinal fractures. There are two main puncture methods, one is unilateral transpedicular or lateral approach, and the other is bilateral transpedicular approach. This study aims to explore the difference in efficacy between these two puncture methods in the treatment of osteoporotic spinal fractures, including surgical indicators, treatment effects, complications, etc., in order to provide a basis for clinical decision-making. Through comprehensive analysis of relevant literature, it was found that unilateral puncture has the advantages of short operation time and less bone cement usage, and bilateral puncture may have more advantages in bone cement diffusion and pain relief. The surgeon can choose the appropriate puncture method according to personal preferences and the specific situation of the patient.
文摘慢性腰腿疼痛性疾病是脊柱外科和疼痛科、康复医学科常见的临床病种之一,发病率高,致病因素多,治愈率低,复发率高,近年来通过对腰痛患者的原因分析与临床研究,发现青少年腰椎峡部裂是导致青少年腰痛的因素之一,因此,作者根据临床病例特征,参考相关文献,对腰椎峡部裂病因机制研究现状做了分析,供临床医师参考。Chronic lumbar and leg pain diseases are one of the common clinical diseases in spinal surgery, pain department, and rehabilitation medicine department. They have a high incidence rate, multiple pathogenic factors, low cure rate, and high recurrence rate. In recent years, through the analysis of the causes of lumbar pain patients and clinical research, it has been found that lumbar isthmus is one of the factors leading to lumbar pain in adolescents. Therefore, based on the characteristics of clinical cases and relevant literature, the author analyzed the current research status of the etiological mechanism of lumbar isthmus for reference by clinical physicians.
