临床医学工程2024,Vol.31Issue(4) :459-460.DOI:10.3969/j.issn.1674-4659.2024.04.0459

改良单侧经皮椎体后凸成形术结合对侧经皮椎体成形术治疗骨质疏松性椎体压缩性骨折的效果

Effect of Modified Unilateral Percutaneous Kyphoplasty Combined with Contralateral Percutaneous Vertebroplasty in the Treatment of Osteoporotic Vertebral Compression Fracture

郭营 李宝田 李骁腾 潘玉林
临床医学工程2024,Vol.31Issue(4) :459-460.DOI:10.3969/j.issn.1674-4659.2024.04.0459

改良单侧经皮椎体后凸成形术结合对侧经皮椎体成形术治疗骨质疏松性椎体压缩性骨折的效果

Effect of Modified Unilateral Percutaneous Kyphoplasty Combined with Contralateral Percutaneous Vertebroplasty in the Treatment of Osteoporotic Vertebral Compression Fracture

郭营 1李宝田 1李骁腾 1潘玉林1
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作者信息

  • 1. 郑州市骨科医院脊柱二科,河南郑州 450052
  • 折叠

摘要

目的 探讨改良单侧经皮椎体后凸成形术(PKP)结合对侧经皮椎体成形术(PVP)治疗骨质疏松性椎体压缩性骨折(OVCF)的效果.方法 76例OVCF患者随机分为两组,对照组采用双侧PKP治疗,观察组采用改良单侧PKP结合对侧PVP治疗,比较两组的治疗效果.结果 观察组的手术时间短于对照组,骨水泥注入量少于对照组,骨水泥渗漏发生率低于对照组(P<0.05).术后3d、6个月,两组的脊柱后凸畸形Cobb角、伤椎体前缘高度均优于术前(P<0.05),但组间差异无统计学意义(P>0.05).结论 改良单侧PKP结合对侧PVP治疗OVCF的手术用时短,骨水泥用量少,术后骨水泥渗漏发生率低.

Abstract

Objective To explore the effect of modified unilateral percutaneous kyphoplasty(PKP)combined with contralateral percutaneous vertebroplasty(PVP)in the treatment of osteoporotic vertebral compression fracture(OVCF).Methods 76 OVCF patients were randomly divided into two groups.The control group was treated with bilateral PKP,while the observation group was treated with modified unilateral PKP combined with contralateral PVP.The treatment effects of the two groups were compared.Results The surgical time of the observation group was shorter than that of the control group,the bone cement injection volume was less than that of the control group,and the incidence of bone cement leakage was lower than that of the control group(P<0.05).At 3 days and 6 months after surgery,the Cobb angle of spinal kyphosis and the height of the anterior edge of the injured vertebra in both groups were better than those before surgery(P<0.05),while no statistically significant difference was found between the groups(P>0.05).Conclusions Modified unilateral PKP combined with contralateral PVP in the treatment of OVCF has short surgical time,less bone cement usage,and low incidence of postoperative bone cement leakage.

关键词

经皮椎体后凸成形术/经皮椎体成形术/骨质疏松性椎体压缩性骨折

Key words

Percutaneous kyphoplasty/Percutaneous vertebroplasty/Osteoporotic vertebral compression fracture

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出版年

2024
临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
参考文献量8
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