摘要
目的探究骨质疏松骨折椎体成形术骨水泥“框架式”分布的临床疗效分析研究。方法选取2023年4月至2024年4月于我院行椎体成形术的骨质疏松性骨折患者120例,随机分为实验组(框架式骨水泥分布)和对照组(常规骨水泥注射组),各60例。对照组采用常规单侧经椎弓根穿刺骨水泥注射技术,实验组采用双侧经椎弓根穿刺技术。比较两组术前、术后3个月及术后6个月的VAS评分,ODI评分,Cobb角,骨水泥渗漏和临近椎体骨折发生率。结果两组VAS、ODI、Cobb角组间、时间点及交互差异均有统计学意义(均P<0.05),实验组术后3个月、6个月VAS、ODI、Cobb角均显著低于对照组(均P<0.05)。两组骨水泥渗漏和临近椎体骨折等术后并发症发生率差异无统计学意义(均P>0.05)。结论骨水泥“框架式”分布是影响PVP临床疗效的主要因素,尤其能缓解术后疼痛。骨水泥在椎体前部和两侧的填充是预防椎体再塌陷的重要原因。
Objective To investigate the clinical efficacy analysis of the"framework"distribution of bone cement in vertebral body shaping surgery for osteoporotic fractures.Methods 120 patients with osteoporotic fractures who underwent vertebral augmentation surgery in our hospital from April 2023 to April 2024 were randomly divided into an experimental group(framework type bone cement distribution)and a control group(conventional bone cement injection group),with 60 patients in each group.The control group used conventional unilateral transpedicular puncture and bone piercing cement injection technique,while the experimental group used bilateral transpedicular puncture technique.Compare the VAS scores,ODI scores,Cobb angle,bone cement leakage,and incidence of adjacent vertebral fractures between two groups before surgery,3 months after surgery,and 6 months after surgery.Results It showed that there were statistically significant differences in VAS,ODI,and Cobb angle between the two groups at different time points and interactions(all P<0.05).In terms of VAS,ODI,and Cobb angle,the experimental group had significantly lower measurements than the control group at the 3-month and 6-month postoperative intervals(all P<0.05).There was no statistically significant difference in the incidence of postoperative complications such as bone cement leakage and adjacent vertebral fractures between the two groups(both P>0.05).Conclusion The"framework"distribution of bone cement is the main factor affecting the clinical efficacy of PVP,especially in relieving postoperative pain.The filling of bone cement in the anterior and lateral parts of the vertebral body is an important reason for preventing further collapse of the vertebral body.
作者
姜杰
周剑
周龙殿
陶志强
徐丽彪
吴庭胜
刘新权
万长浩
JIANG Jie;ZHOU Jian;ZHOU Long-dian;TAO Zhi-qiang;XU Li-biao;WU Ting-sheng;LIU Xin-quan;WAN Chang-hao(Nanchang Hongdu Hospital of TCM,Nanchang 330038,Jiangxi Province,China)
出处
《罕少疾病杂志》
2025年第11期129-131,共3页
Journal of Rare and Uncommon Diseases
基金
江西省卫生健康委科技计划(202410590)。
