目的: 探讨骨水泥弥散分布对经皮椎体成形术（percutaneous vertebroplasty,PVP）治疗骨质疏松性脊柱骨折临床疗效及疼痛减轻程度的影响。方法: 对 2021年1月―2023年1月于湖南师范大学附属湘东医院行PVP治疗骨质疏松性椎体压缩骨折（OVCF）患者100例进行回顾性分析,参照术后X线片评估骨水泥弥散程度,将患者分为弥散良好组（n=57）和弥散不佳组（n=43）,比较两组患者的VAS评分、椎体前缘高度比和术后中柱高度恢复率。结果: 两组患者术后第3天、术后3个月、术后6个月VAS评分均低于术前,两组患者在术前及术后同一时间点VAS评分比较无统计学差异;弥散良好组患者椎体前缘高度比明显高于弥散不佳组,弥散良好组患者术后6个月椎体塌陷度明显低于弥散不佳组,弥散良好组患者术后中柱高度恢复率明显高于弥散不佳组。结论: PVP手术治疗OVCF可以有效缓解疼痛,且骨水泥弥散更佳,起到的支撑作用更为显著。
Abstract
Objective To investigate the effect of bone cement dispersion distribution on the clinical efficacy and pain relief of percutaneous vertebroplasty (PVP) for the treatment of osteoporotic spinal fractures. Methods A retrospective analysis was conducted on 100 patients with osteoporotic vertebral compression fractures (OVCF) who underwent PVP treatment at the affiliated xiangdong Hospital of Hunan Normal University from January 2021 to January 2023. The degree of bone cement dispersion was evaluated based on postoperative X-ray films, and the patients were divided into a well dispersed group (n=57) and a poorly dispersed group (n=43). Comparing the general information, VAS score, anterior vertebral height ratio, and postoperative recovery rate of mid column height between two groups of patients. Results The VAS scores of the two groups on the 3rd day after the operation, the 3rd month after the operation and the 6th month after the operation were lower than the preoperative period. There was no statistical difference in the VAS score of the two groups at the same time before and after the operation; the anterior edge height ratio of the vertebral edge of the patients in the good dispersion group was significantly higher than that of the poor dispersion group, the degree of the vertebral collapse of the patients in the well dispersed group was significantly lower than that of the poorly dispersed group, and the postoperative middle column height recovery rate of the patients in the well dispersed group was significantly higher than that of the poorly dispersed group. Conclusion PVP surgery for OVCF can effectively alleviate pain, and the better the dispersion of bone cement, the more significant the supportive effect it plays.
关键词
骨质疏松 /
压缩性骨折 /
椎体成形术 /
骨水泥 /
疗效
Key words
osteoporosis /
compression fractures /
vertebroplasty /
bone cement /
curative effect
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