[1]郑 坤,崔永胜,周劲松.弥散强化程度对经皮单椎体骨水泥注入术治疗骨质疏松性椎体压缩骨折疗效的影响[J].陕西医学杂志,2021,50(5):555-558.[doi:DOI:10.3969/j.issn.1000-7377.2021.05.010]
　ZHENG Kun,CUI Yongsheng,ZHOU Jinsong.Influence of diffusion enhancement degree on clinical efficacy after percutaneous single vertebral bone cement injection[J].,2021,50(5):555-558.[doi:DOI:10.3969/j.issn.1000-7377.2021.05.010]
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弥散强化程度对经皮单椎体骨水泥注入术治疗骨质疏松性椎体压缩骨折疗效的影响
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
50
期数:
2021年5期
页码:
555-558
栏目:
临床研究
出版日期:
2021-05-05

文章信息/Info

Title:
Influence of diffusion enhancement degree on clinical efficacy after percutaneous single vertebral bone cement injection
作者:
郑 坤1; 崔永胜1; 周劲松2
(1.安康市中心医院,陕西 安康 725000; 2.西安市红会医院,陕西 西安 710054)
Author(s):
ZHENG Kun; CUI Yongsheng; ZHOU Jinsong
(Ankang Central Hospital,Ankang 725000,China)
关键词:
经皮椎体成形术;  骨水泥;  弥散强化程度;  临床疗效;  并发症;  生活质量
Keywords:
Percutaneous vertebroplasty;  Bone cement;  Diffusion enhancement degree;  Clinical efficacy;  Complication;  Quality of life
分类号:
R 683
DOI:
DOI:10.3969/j.issn.1000-7377.2021.05.010
文献标志码:
A
摘要:
目的:探讨经皮单椎体骨水泥注入术后弥散强化程度对骨质疏松性椎体压缩骨折治疗效果的影响。方法: 选取60例骨质疏松性椎体压缩骨折患者为研究对象,所有患者均行经皮椎体成形术,根据椎体内骨水泥弥散强度分为弥散充分组(对照组)和弥散欠佳组(观察组),比较两组不同阶段疼痛程度、Cobb角、功能障碍和生活质量,同时进行并发症发生率的对比。结果:对照组和观察组术前和术后次日疼痛程度、Cobb角、功能障碍以及术前生活质量评分对比差异均无统计学意义(均P>0.05),观察组术后6个月疼痛程度、Cobb角、功能障碍和生活质量评分与对照组相比差异均有统计学意义(均P<0.05); 观察组并发症发生率高于对照组(均P<0.05)。结论:经皮椎体成形术后椎体内骨水泥弥散强度欠佳,可影响手术治疗效果的发挥,也可增加术后并发症发生风险,应严格观察骨水泥弥散强化程度,以保障治疗效果。
Abstract:
Objective:To investigate the effect of diffusion enhancement degree after percutaneous bone cement injection on the treatment effect of osteoporotic vertebral compression fracture.Methods:60 patients with osteoporotic vertebral compression fracture were selected as the research objects.All patients underwent percutaneous vertebroplasty.According to the diffusion enhancement degree of the bone cement in the vertebral body,they were divided into control group(sufficient diffusion)and observation group(poor diffusion).The pain degree,Cobb angle,dysfunction and quality of life at different stages between the two groups were compared,and the incidence of complications was also compared.Results:There was no statistically significant difference in the degree of pain,Cobb angle,dysfunction,and preoperative quality of life scores before and the next day after operation between the two groups(allP>0.05).Compared with the control group,Cobb angle,dysfunction and quality of life scores 6 months after surgery in the observation group were significantly different(all P<0.05).The incidence of complications in the observation group was higher than that in the control group(P<0.05).Conclusion:Poor diffusion enhancement degree of bone cement in the vertebral body after percutaneous vertebroplasty may affect the effect of surgical treatment and increase the risk of postoperative complications.The diffusion enhancement degree of bone cement should be strictly observed to ensure the therapeutic effect.

参考文献/References:

[1] Sabbagh MD,Morsy M,Moran SL.Diagnosis and management of acute scaphoid fractures[J].Hand Clin,2019,35(3):259-269.
[2] 李跃京,刘锋伟,李彦州,等.艽活四物汤联合介入疗法治疗骨质疏松性椎体压缩性骨折的疗效及对患者骨代谢的影响[J].陕西中医,2018,39(7):938-940.
[3] 黄 震,王开明,廖 亮,等.经皮椎体后凸成形术与经皮椎体成形术治疗骨质疏松性椎体压缩骨折的疗效及并发症对比分析[J].陕西医学杂志,2018,47(4):491-493.
[4] 马建华,王庆雷.高粘度骨水泥对不同程度骨质疏松性椎体压缩性骨折经皮椎体成形术的疗效影响及其弥散分析[J].中国基层医药,2018,25(21):2721-2725.
[5] 曹 燕.CT、MRI应用于骨质疏松性椎体压缩骨折终板裂口诊断价值比较[J].影像研究与医学应用,2018,2(3):95-96.
[6] 黎泽森,曾 巧.PVP与PKP在治疗骨质疏松性椎体压缩骨折的临床效果及患者VAS ODI指数影响[J].河北医学,2018,9(25):130-131.
[7] 李 鸿,徐无忌.加味身痛逐瘀汤治疗骨质疏松椎体压缩性骨折经皮穿刺椎体成形术后残余痛临床研究[J].陕西中医,2019,40(11):1545-1547,1551.
[8] 张美红.七化特色疼痛管理模式对老年全膝关节置换术患者的影响[J].护理实践与研究,2019,16(4):72-74.
[9] Wang B,Zhao CP,Song LX,et al.Balloon kyphoplasty versus percutaneous vertebroplasty for osteoporotic vertebral compression fracture:A meta-analysis and systematic review[J].J Orthop Surg Res,2018,13(1):264.
[10] Lu W,Wang L,Xie C,et al.Analysis of percutaneous kyphoplasty or short-segmental fixation combined with vertebroplasty in the treatment of kummell disease[J].J Orthop Surg Res,2019,14(1):311.
[11] 刘志刚,秦 琳,张挥武.温针灸联合经皮椎体后凸成形术治疗骨质疏松性椎体压缩性骨折疗效及对患者骨密度和血钙的影响[J].陕西中医,2020,41(6):823-826.
[12] 杨 军.经皮椎体成形术治疗骨质疏松性脊柱骨折的骨水泥弥散分布与临床疗效的相关研究[J].中国骨伤,2019,32(12):1128-1133.
[13] 吴伟峰,胡 超,葛永军,等.骨质疏松性椎体压缩骨折经皮椎体成形术术后邻近椎体骨折的危险因素[J].临床骨科杂志,2020,23(5):614-617.
[14] 史德军,朱浩玮,张杰彪,等.单侧与双侧入路经皮椎体后凸成形术治疗骨质疏松性椎体压缩骨折的疗效比较[J].临床骨科杂志,2020,23(2):175-177.
[15] 辛宏生.单侧与双侧经皮穿刺椎体成形术治疗老年胸腰椎压缩性骨折患者的效果比较[J].中国民康医学,2020,32(13):134-136.
[16] 李业成,张 巍,张成亮,等.经皮椎体成形术后骨水泥弥散类型不同与相邻椎体再骨折的关系[J].创伤外科杂志,2019,21(8):591-594.
[17] 周 秀,彭 霞,杨 东,等.益肾补骨汤联合经皮椎体后凸成形术治疗骨质疏松性椎体压缩骨折疗效研究[J].陕西中医,2020,41(10):1440-1442,1447.
[18] 王芳芳,郜顺兴,王拴池,等.骨水泥弥散分布等级与骨质疏松压缩性骨折PVP手术临床疗效的关系研究[J].实用骨科杂志,2019,25(9):822-826.
[19] 方良勤,杨 雷,范国涛,等.双侧与单侧入路经皮椎体成形术治疗老年多节段骨质疏松性椎体压缩骨折的疗效比较[J].中国骨与关节损伤杂志,2021,36(1):52-54.
[20] 刘瑞祯,王望任,郝 晨,等.骨水泥分布对单侧穿刺经皮椎体成形治疗单节段骨质疏松性椎体压缩骨折后相邻椎体骨折的影响[J].中国组织工程研究,2020,24(28):4498-4504.

备注/Memo

备注/Memo:
基金项目:西安市科技攻关计划项目(FS08007-4)
更新日期/Last Update: 2021-05-06