椎体后凸成形术治疗骨质疏松性椎体骨折的随访分析
Retrospective analysis of osteoporotic vertebral fractures treated with kyphoplasty
王根林 1杨惠林 1孟斌 1郑召民 2张宁 3殷国勇 3梅昕 1周军 1朱雪松 1汪李军1
作者信息
- 1. 苏州大学附属第一医院骨科,江苏苏州215006
- 2. 中山大学附属第一医院骨科,广东广州510080
- 3. 南京医科大学第一附属医院骨科,江苏南京210029
- 折叠
摘要
目的 回顾性研究经皮椎体后凸成形术(KP)治疗骨质疏松性椎体骨折的疗效.方法 回顾性分析2000年5月至2012年10月行KP治疗且资料较完整的1 459例骨质疏松性椎体骨折患者的临床资料,从腰背部疼痛(VAS评分)改善率、常见并发症发生率及生存率三方面评价手术疗效.结果 平均随访51个月(1～92个月),VAS评分术前为8.7±1.0,末次随访为2.5±0.9,差异有统计学意义(P＜0.05),VAS改善率为71.3％；骨水泥渗漏率2.4％；随访4年以上生存率75.3％.结论 KP治疗骨质疏松性椎体骨折能有效缓解患者疼痛,并发症低,安全有效.
Abstract
Objective To study retrospectively the efficacy of osteoporotic vertebral fractures (OVF) treated with percutaneous kyphoplasty (KP). Methods The clinical data of 1 459 patients with OVF were analyzed retrospectively from May 2000 to October 2012. The outcomes of KP for OVF were assessed by the improving rate of visual analogue scale ( VAS) , the rate of common complications and the survival rate. Results The mean follow-up was 51 months (ranged from one to 92 months). The VAS was 8.7 ± 1. 0 at preoperative and 2. 5 ±0. 9 at final follow-up. There was statistically significant improvement at the final follow-up assessment compared with the pre-operative assessment (P <0. 05) , VAS improved rate was 71.3%. The rate of cement leakage was 2.4% and the survival rate of up to four years was 75. 3% . Conclusion The study suggests that kyphoplasty is a safe and effective procedure for OVF.
关键词
椎体后凸成形术/骨质疏松症/椎体压缩骨折/温度梯度灌注法/骨水泥Key words
kyphoplasty/osteoporosis/vertebral compression fracture/incremental temperature ce-ment delivery/cement引用本文复制引用
基金项目
国家自然科学基金(81271960)
国家自然科学基金(81171689)
国家自然科学基金(81071451)
卫生行业科研专项基金(201002018)
出版年
2012
NETL
NSTL
维普
万方数据