摘要
目的 分析骨质疏松性胸腰椎压缩骨折(OVCF)经皮椎体成形术(PVP)术后腰痛不缓解的影响因素。方法 选取2021年1月至2022年6月在本院行PVP治疗的152例OVCF患者进行研究,根据术后腰痛症状能否缓解将其分为疼痛组与无痛组。采集患者的一般资料、手术资料及影像学资料,分析PVP术后腰痛不缓解的影响因素。结果 152例患者均顺利完成手术,其中121例(79.61%)疼痛缓解,31例(20.39%)疼痛不缓解。疼痛组与无痛组的骨水泥充盈程度、腰背筋膜损伤、骨密度、伤椎前缘高度恢复率及Cobb角矫正度比较,差异具有统计学意义(P<0.05)。二元Logistic回归分析结果显示,骨水泥充盈程度、骨密度、伤椎前缘高度恢复率及Cobb角矫正度为PVP术后腰痛不缓解的保护因素,腰背筋膜损伤为危险因素(P<0.05)。结论 骨水泥充盈程度、腰背筋膜损伤、骨密度、伤椎前缘高度恢复率及Cobb角矫正度是PVP术后腰痛不缓解的影响因素,临床可据此采取相关预防措施。
Objective To analyze the influencing factors of unrelieved low back pain after percutaneous vertebroplasty(PVP)for osteoporotic vertebral compression fracture(OVCF).Methods A total of 152 patients with OVCF who underwent PVP in our hospital from January 2021 to June 2022 were selected for the study.The patients were divided into pain group and painless group according to whether the postoperative low back pain symptoms could be relieved.The general data,surgical data and imaging data of the patients were collected to analyze the influencing factors of unrelieved low back pain after PVP.Results All the 152 cases successfully completed the operation,of which 121 cases(79.61%)had pain relief and 31 cases(20.39%)had no pain relief.There were statistically significant differences in the degree of bone cement filling,lumbar and back fascia injury,bone mineral density,recovery rate of anterior vertebral height and Cobb angle correction degree between the pain group and the painless group(P<0.05).The results of binary Logistic regression analysis results showed that the degree of bone cement filling,bone mineral density,recovery rate of anterior vertebral height and Cobb angle correction degree were the protective factors of unrelieved low back pain after PVP,and the lumbar and back fascia injury was the risk factor(P<0.05).Conclusion The degree of bone cement filling,lumbar and back fascia injury,bone mineral density,recovery rate of anterior vertebral height and Cobb angle correction degree are the influencing factors of unrelieved low back pain after PVP,and relevant preventive measures can be taken clinically.
作者
李东晨
张晓军
毕乃贵
李鸿波
刘秉仁
LI Dongchen;ZHANG Xiaojun;BI Naigui;LI Hongbo;LIU Bingren(Spinal Surgery Department,Xi'an Aerospace General Hospital,Xi'an 710100,China)
出处
《临床医学研究与实践》
2025年第3期34-37,共4页
Clinical Research and Practice
关键词
骨质疏松性胸腰椎压缩骨折
腰痛
经皮椎体成形术
osteoporosis vertebral compression fracture
low back pain
percutaneous vertebroplasty
