骨填充网袋椎体成形术对老年骨质疏松性胸腰椎压缩骨折术后骨水泥渗漏的影响
Effect of bone filling mesh bag vertebroplasty on postoperative bone cement leakage in elderly patients with osteoporotic thoracolumbar compression fractures
魏树超 1刘静 1张守领 1肖银普 1李泽君1
作者信息
- 1. 鹤壁市中医院显微外科,河南 鹤壁 458030
- 折叠
摘要
目的:分析骨填充网袋椎体成形术对老年骨质疏松性胸腰椎压缩骨折(Osteoporotic thoracolumbar compression fracture in the elderly,OVCF)术后骨水泥渗漏的影响.方法:回顾性分析 2019年 10 月至2022 年11 月期间于我院接受手术治疗的 128 例老年OVCF患者的一般资料,按照手术方式的不同将所有的患者分为经皮椎体后凸成形术(Percutaneous kyphoplasty,PKP)组和网袋组(n=64),分别给予PKP或骨填充网袋椎体成形术治疗.手术结束后对比两组患者手术一般情况,于术前、术后 1 m以及术后3 m采用Oswestry功能障碍指数(Oswestry Disability Index,ODI)评价腰椎功能恢复情况、采用视觉模拟评分(Visual Analogue Scale,VAS)评价疼痛程度,术后3 m统计并发症发生率.结果:网袋组手术时间,注入骨水泥量、住院天数和PKP组两组组间比较差异无显著性(P＞0.05);术前两组患者ODI 以及椎体前缘、后缘高度以及Cobb角两组组间比较差异无显著性(P＞0.05),术后1 m以及术后3 m两组患者ODI评分以及Cobb角均较术前下降,椎体前缘、后缘高度均较术前上升(P＜0.05),但是两组组间比较差异无显著性(P＞0.05);术前两组患者疼痛程度组间比较差异无显著性(P＞0.05),术后 1 m以及术后 3 m两组患疼痛程度均较术前下降(P＜0.05),但两组组间差异无显著性(P＞0.05);PKP组并发症发生率(6.25%)低于网袋组(18.75%)(P＜0.05).结论:PKP和骨填充网袋椎体成形术均可促进OVCF患者腰椎功能的恢复,不影响手术进程,但是骨填充网袋椎体成形术术后骨水泥渗漏发生率更低.
Abstract
Objective:To analyze the effect of bone-filling netted bag vertebroplasty on bone cement leakage after Osteoporotic thoracolumbar compression fracture in the elderly OVCF.Method:A retrospective analysis was performed on the general data of 128 elderly patients with OVCF who received surgical treatment in our hospital between October 2019 and November 2022.All patients were classified into Percutaneous kyphoplasty(PKP)and mesh bag groups according to different surgical methods(n=64).PKP or bone-filled mesh bag vertebroplasty were given respectively.One and three months after the operation,the general operation conditions of the two groups were compared.Oswestry Disability Index(ODI)was used to evaluate the functional recovery of the lumbar spine before surgery,and the visual analog scale(VAS)was used to evaluate the degree of pain.The incidence of complications was measured 3 m after the operation.Results:There were no significant differences in operation time,bone cement injection amount,hospitalization days,and PKP group between the two groups(P>0.05).Before surgery,there was no significant difference in ODI,the height of anterior and posterior vertebral edges,and the Cobb Angle between the two groups(P>0.05).ODI scores and Cobb Angle of the two groups decreased 1 m and 3 m after surgery,while the height of anterior and posterior vertebral edges increased compared with that before surgery(P<0.05).There was no significant difference between the two groups(P>0.05).There was no significant difference in the degree of pain between the two groups before surgery(P>0.05),and the degree of pain in the two groups 1 m and 3 m after surgery was lower than that before surgery(P<0.05).However,the two groups had no significant difference(P>0.05).The complication rate of the PKP group(6.25%)was lower than that of the net bag group(18.75%)(P<0.05).Conclusion:Both PKP and bone-filled mesh vertebroplasty can promote the recovery of lumbar function in OVCF patients without affecting the surgical process,but the incidence of bone cement leakage after bone-filled mesh vertebroplasty is lower.
关键词
骨质疏松性胸腰椎压缩骨折/骨填充网袋椎体成形术/经皮椎体后凸成Key words
Osteoporotic thoracolumbar compression fracture/Bone filling mesh bag vertebroplasty/Percutaneous kyphoplasty/Vertebral function/Bone cement leakage引用本文复制引用
出版年
2024
NETL
NSTL
维普
万方数据