世界复合医学2024,Vol.10Issue(4) :131-135.DOI:10.11966/j.issn.2095-994X.2024.10.04.33

不同黏度骨水泥对行经皮椎体成形术术后骨水泥弥散情况的影响

Effect of Bone Cement with Different Viscosity on Bone Cement Dispersion after Perculaneous Vertebro Plasty in Porotic Vertebral Compression Fracture Patients

王泰哲 许明卿 曾小军
世界复合医学2024,Vol.10Issue(4) :131-135.DOI:10.11966/j.issn.2095-994X.2024.10.04.33

不同黏度骨水泥对行经皮椎体成形术术后骨水泥弥散情况的影响

Effect of Bone Cement with Different Viscosity on Bone Cement Dispersion after Perculaneous Vertebro Plasty in Porotic Vertebral Compression Fracture Patients

王泰哲 1许明卿 1曾小军1
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作者信息

  • 1. 十堰市人民医院骨科,湖北 十堰 442000;十堰市人民医院脊柱外科,湖北 十堰 442000
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摘要

目的 探讨不同黏度骨水泥应对行经皮椎体成形术(percutaneous vertebro plasty,PVP)的骨质疏松性椎体压缩性骨折(osteoporotic vertebral compression fracture,OVCF)患者术后骨水泥弥散情况的影响.方法 回顾性分析十堰市人民医院于2020年10月—2022年11月收治的102例行PVP治疗的OVCF患者的临床资料,按照术中使用骨水泥黏度的不同分为对照组(采用低黏度骨水泥,n=51)和观察组(采用高黏度骨水泥,n=51).比较两组术前和术后1 d、3个月、6个月的腰椎功能水平,术后3、6个月骨水泥弥散情况和骨水泥渗漏情况.结果 与术前相比较,术后1 d、3个月、6个月两组腰椎功能障碍评分均下降,差异有统计学意义(P均<0.05).与对照组相比较,观察组术后3、6个月的腰椎功能障碍评分更低,骨水泥弥散体积、系数更高,差异有统计学意义(P均<0.05).观察组的骨水泥渗漏率(5.88%)低于对照组(19.61%),差异有统计学意义(χ 2=4.320,P=0.038).结论 不同黏度骨水泥应用于行PVP的OVCF患者均能改善其术后腰椎功能,但高黏度骨水泥在提高骨水泥弥散体积、促进患者腰椎功能恢复、降低术后骨水泥渗漏率方面更为理想.

Abstract

Objective To investigate the effect of different viscosity bone cement on the diffusion of osteo-porotic vertebral compression fracture(OVCF)in patients undergoing percutaneous vertebro plasty(PVP).Methods Clinical data of 102 OVCF patients who underwent PVP treatment admitted to Shiyan People's Hospi-tal from October 2020 to November 2022 were retrospectively selected,and they were divided into control group(using low viscosity bone cement,n=51)and observation group(using high viscosity bone cement,n=51)accord-ing to different bone cement viscosity used during the operation.The level of lumbar function before surgery and 1 day,3 months and 6 months after surgery,and the diffusion and leakage of bone cement 3 months and 6 months after surgery were compared between the two groups.Results Compared with the preoperative results,the lumbar dysfunction scores of both groups decreased at 1 day,3 months and 6 months after surgery,and the differences were statistically significant(all P<0.05).Compared with the control group,the lumbar dysfunction scores of the observation group were lower,and were higher than,and the diffusion volume and coefficient of bone cement 3 were higher than and 6 months after surgery,and the differences were statistically significant(all P<0.001).The bone cement leakage rate in the observation group(5.88%)was lower than that in the control group(19.61%),and the difference was statistically significant(χ2=4.320,P=0.038).Conclusion Different vis-cosity bone cement applied to OVCF patients undergoing PVP can improve the postoperative lumbar function,but high viscosity bone cement is more ideal in improving the diffusion volume of bone cement,promoting the re-covery of lumbar function,and reducing the postoperative bone cement leakage rate.

关键词

骨质疏松性椎体压缩性骨折/经皮椎体成形术/骨水泥/骨水泥弥散情况

Key words

Osteoporotic vertebral compression fracture/Percutaneous vertebro plasty/Bone cement/Diffusion of bone cement

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出版年

2024
世界复合医学

世界复合医学

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