摘要
目的探讨选择性椎体成形术治疗多节段骨质疏松性椎体骨折的临床疗效。方法回顾性收集2021年1月至2023年6月在新疆医科大学附属中医医院诊断为多节段骨质疏松性椎体骨折的病人78例。术前常规行X线、CT、MRI检查,根据病人手术意愿分为2组:A组接受选择性椎体成形术,B组接受常规经皮椎体成形术。收集2组一般资料、骨折椎体总数、术中并发症、手术时间、术中出血量等。记录术前、术中、末次随访VAS评分及末次随访Oswestry功能障碍指数(Oswestry disability index,ODI);随访6个月观察再骨折发生情况。结果2组年龄、性别、BMI、术前VAS评分、术后ODI比较,差异没有统计学意义(P>0.05),术中及术后VAS评分比较,差异有统计学意义(P<0.05)。2组手术时间、出血量、术中并发症比较,差异具有统计学意义(P<0.05)。结论选择性椎体成型术治疗多节段骨质疏松性椎体骨折疗效与常规术式基本一致,但手术时间更短,出血更少,术中并发症更少。
Objective To explore the clinical efficacy of selective vertebroplasty in treating multiple segment vertebral osteoporotic fractures.Methods Retrospectively collected data from 78 patients diagnosed with multiple segment vertebral osteoporotic fractures in Traditional Chinese Medicine Hospital Affiliated to Xinjiang Medical University from January 2021 to June 2023.Preoperative routine X-ray,CT,and MRI examinations were conducted.Patients were divided into two groups based on their surgical preference:Group A received selective vertebroplasty,while Group B received conventional percutaneous vertebroplasty.General data,total number of fractured vertebrae,intraoperative complications,surgery time,and intraoperative blood loss were collected.Preoperative,intraoperative,and final follow-up visual analogue scale(VAS)scores and Oswestry Disability Index(ODI)were recorded;follow up for 6 months,the occurrence of re-fracture was observed.Results Age,gender,body mass index,postoperative ODI,and preoperative VAS scores between the two groups showed no statistically significant differences(P>0.05).However,there were statistically significant differences in intraoperative and postoperative VAS scores(P<0.05).There were statistically significant differences in surgical time,blood loss,and intraoperative complications between the two groups(P<0.05).Conclusions Selective vertebroplasty for the treatment of multiple-segment osteoporotic fractures has similar efficacy to conventional procedures,with shorter surgery time,less bleeding,and fewer intraoperative complications.
作者
莫军
张思平
张焕文
李建江
丹尼尔·阿不力米提
黄异飞
MO Jun;ZHANG Siping;ZHANG Huanwen;LI Jianjiang;Dannier Abulimiti;HUANG Yifei(Department of Minimally Invasive Spinal Surgery,Traditional Chinese Medicine Hospital Affiliated to Xinjiang Medical University,Urumqi 830000,China)
出处
《实用老年医学》
2025年第9期929-932,共4页
Practical Geriatrics
基金
新疆医科大学附属中医医院院内课题(zyy202218)。
