摘要
目的 探讨经皮弯角椎体成形术治疗骨质疏松性椎体压缩骨折(OVCF)的疗效.方法 回顾性分析自2021年1月至12月在首都医科大学附属北京友谊医院住院治疗的100例OVCF患者.按手术方法不同分为两组:双侧穿刺经皮椎体成形术(PVP)组和单侧穿刺弯曲椎体成形术(PCVP)组,各50例.记录并比较两组患者的手术时间、透视次数、骨水泥体积、骨水泥渗漏率、骨水泥弥散优良率,术前、术后1周、术后6周的疼痛[视觉模拟评分法(VAS)]评分.结果 PVCP组手术时间为(22.68±2.72)min,短于对照组[(31.44±4.01)min],透视次数、骨水泥注入量、骨水泥渗漏率方面分别为(13.94±3.19)次、(4.56±0.60)mL、16.00％,均显著低于 PVP 组[(21.02±3.34)次、(6.88±0.87)mL、34.00％],差异均有统计学意义(P＜0.05);两组的骨水泥弥散优良率比较,差异无统计学意义(P＞0.05).术前、术后1周、术后6周,两组患者VAS评分比较,差异均无统计学意义(P＞0.05);术后1、6周,两组患者VAS评分均较术前明显下降,差异均有统计学意义(P＜0.05).结论 PCVP治疗OVCF治疗效果与双侧穿刺PVP相当,且手术时间更短、骨水泥注入量更少、骨水泥渗漏发生风险更低.
Abstract
Objective To investigate the effect of percutaneous curved angle vertebroplasty in the treatment of osteoporotic vertebral com-pression fracture(OVCF).Methods Retrospective analysis of 100 patients with OVCF hospitalized at Beijing Friendship Hospital,Capital Medi-cal University from Jan 2021 to Dec 2021 were performed.They were divided into the two groups according to different surgical methods:the bilat-eral percutaneous vertebroplasty(PVP)group and unilateral percutaneous curved vertebroplasty(PCVP)group,with 50 cases in each group.The operation time,number of fluoroscopies,cement volume,cement leakage rate,excellent cement dispersion rate,and pain[visual analogue scale(VAS)]score before surgery,1 and 6 weeks after surgery were recorded and compared between the two groups.Results The surgical time in the PVCP group was(22.68±2.72)min,which was shorter than that in the control group[(31.44±4.01)min].In terms of fluoroscopy frequen-cy,bone cement injection volume,and bone cement leakage rate,they were(13.94±3.19)times,(4.56±0.60)mL,and 16.00％,respec-tively,which were significantly lower than those in the PVP group[(21.02±3.34)times,(6.88±0.87)mL,and 34.00％],and the differ-ences were statistically significant(P＜0.05);there was no statistically significant difference in the excellent rate of bone cement dispersion be-tween the two groups(P＞0.05).There were no statistically significant differences in VAS scores between the two groups of patients before sur-gery,1 week after surgery,and 6 weeks after surgery(P＞0.05);at 1 and 6 weeks after surgery,the VAS scores of both groups of patients were significantly lower than those before surgery,and the differences were statistically significant(P＜0.05).Conclusion In the treatment of OVCF,the effect of PC VP is similar to that of bilateral PVP,with shorter operation time,less cement injection and lower risk of cement leakage.
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