首页|两种骨水泥注射器在双侧经皮椎体成形术中的应用效果

两种骨水泥注射器在双侧经皮椎体成形术中的应用效果

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目的:探讨两种骨水泥注射器在双侧经皮椎体成形术中的应用效果.方法:回顾性分析 2021 年 1 月～2022 年2 月东莞市中医院收治的 64 例接受双侧经皮椎体成形术治疗的骨质疏松性椎体压缩骨折患者的临床资料,根据术中所使用的骨水泥注射器不同分为对照组与研究组各 32 例,对照组采取前开口骨水泥注射器治疗,研究组采取侧方开口骨水泥注射器治疗,比较两组患者的手术时间、骨水泥注入量、术中失血量、临床指标、骨水泥分布及渗漏情况.结果:研究组的手术时间短于对照组,骨水泥注入量多于对照组,差异有统计学意义(P<0.05);两组术中失血量比较差异无统计学意义(P>0.05);研究组的骨水泥渗漏率低于对照组,差异有统计学意义(P<0.05);研究组患者的骨水泥分布等级优于对照组,差异有统计学意义(P<0.05);两组患者术后 1 个月的疼痛视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI)评分较术前均明显下降,差异有统计学意义(P<0.05),但两组间比较差异无统计学意义(P>0.05).结论:在双侧经皮椎体成形术中应用侧方开口骨水泥注射器有利于缩短手术时间,控制骨水泥弥散方向,提高骨水泥的分布等级,降低骨水泥渗漏率.
Application effect analysis of two kinds of bone cement syringes in bilateral percutaneous vertebroplasty
Objective To analyze the application effect of two kinds of bonecement syringes in bilateral percutaneous vertebroplas-ty.Method The clinical data of 64 patients with osteoporotic vertebral body compression fracture treated by bilateral percutaneous ver-tebroplasty in our hospital were retrospectively analyzed.According to the different bone cement syringes used during surgery,they were divided into a control group and a study group,with 32 cases in each group,the control group was treated with anterior opening bone ce-ment syringe,and the study group was treated with lateral opening bone cement syringe.Compare the surgical time,bone cement injec-tion volume,intraoperative blood loss,clinical indicators,bone cement distribution,and leakage between two groups of patients.Results The operation time of the study group was shorter than that of the control group,and the amount of bone cement injected was more than that of the control foot(P<0.05);there was no significant difference in intraoperative blood loss between the two groups(P>0.05).The bone cement leakage rate of the study group was lower than that of the control group(P<0.05);the bone ce-ment distribution grade of the patients in the study group was better than that of the control group(P<0.05);the VAS score and ODI score of the patients in the two groups at 1 month after the operation were significantly decreased than those before the operation(P<0.05),but there was no significant difference between the two groups(P>0.05).Conclusion The application of lateral opening bone cement syringe in bilateral percutaneous vertebroplasty is beneficial to shorten the operation time,control the diffusion direction of bone cement,improve the distribution grade of bone cement,and reduce the leakage rate of bone cement.

Thoracolumbar osteoporotic vertebral compression fractureBilateral percutaneous vertebroplastyLateral opening bone cement syringeAnterior opening bone cement syringe

潘卓钦、吴文仁、陈永恩、庄沙斌、邓方跃、黄雄飞

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东莞市中医院骨科,广东 东莞 523000

胸腰椎骨质疏松性椎体压缩骨折 双侧经皮椎体成形术 前开口骨水泥注射器 侧方开口骨水泥注射器

东莞市社会科技发展一般项目

202050715002158

2024

10.3969/j.issn.1004-0412.2024.01.014

吉林医学
吉林省人民医院

吉林医学

影响因子：0.926
ISSN：1004-0412
年,卷(期)：2024.45(1)
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