单双侧经皮椎体后凸成形术治疗胸腰段椎体骨折的对比分析.docVIP

精品论文 参考文献 单双侧经皮椎体后凸成形术治疗胸腰段椎体骨折的对比分析 周立平　孙煜　张正国 苏州大学附属第三医院常州市第一人民医院骨科　江苏　常州　２１３００３ 　　【摘要】　目的　对比分析单双侧经皮椎体后凸成形术(PercutaneousKyphoplasty,PKP)治疗胸腰锥压缩性骨折的疗效方法　回顾性分析２０１０年１月－２０１４年１月我科收治的PKP治疗胸腰锥压缩性骨折患者５０例,随机分为单侧组和双侧组(各２５例).比较两组间手术时间、透视次数及骨水泥注入量,同时分析治疗前、治疗后、治疗后１、６、１２月的视觉疼痛模拟评分、伤椎后凸畸形角(Cobbrsquo;s角)及Oswestry功能障碍指数变化结果　两组患者均获得临床完整随访且无感染、神经症状及肺栓塞等并发症发生.单侧组手术时间为２８．３plusmn;３．５min,较对照组３３．６plusmn;４．１min明显降低(P＝０．０３６).同时单侧组在透视次数及骨水泥注入量方面均较双侧组明显减少(P＝０．００２,０．０１２).两组患者在经过治疗后VAS评分、Cobbrsquo;s角、ODI评分均有明显改善(P＝０．０１７,０．０３１,０．０１７),但两组间不同时间段间的差异不明显(P＞０．０５).结论:单、双侧PKP 对治疗胸腰锥压缩性骨折均获得满意的临床疗效,但单侧治疗可以有效缩短手术时间及放射次数,值得临床推广【关键词】　经皮椎体后凸成形术;　胸腰锥压缩性骨折;　对比分析Contrastiveanalysisofunilateralandbilateralpercutaneouskyphoplastyinthetreatmentofthoracolumbarfractures２１３００３departmentoforthoaedicsofChangzhoufirsthospital　Zhouliping,Sunyu,Zhangzhengguo【Abstract】　Objective:ToanalysistheclinicalresultsofunilateralandbilateralpercutaneouskyphoplastyinthetreatmentofthoracolumbarfracturesMethＧods:FromJan．２０１０andJan．２０１４,weretrospectivelyanalyzed５０patientswhichwererandomlydividedintotwogroups(unilaterallgroupandbilateralgroup,each２５patients)．Theoperativetime,frequencyofX－rayandamountofcementwererecorded．VisualAnalogueScale,vertebralkyphosisandOswestrydisabiliＧtyindex(ODI)weremeasuredpre－andpostoperatively．Results:Allpatientsgotfullfollowed－up．Nocementleakage,infection,neurologicalsymptomsandpulmonaryembolismoccurred．Results:Theoperativetimeinunilaterallgroupwas３３．６plusmn;４．１min,andasignificantdifferencewasfound(P＝０．０３６)．TherewassignificantdifferenceinfrequencyofX－rayandamountofcement(P＝０．００２,０．０１２)．SignificantimprovementwasfoundintheVisualAnalogueScale,Cobbrsquo;sangleandOswestrydisabilityindex(P＝０．０１７,０．０３１,０．０１７)．Therewasnosignificantdifferenceindifferenttimes(P＞０．０５)．Conclusion:SatisfactoryclinicalreＧsultswereachievedinbothunilateralandbilateralgroups．Theunilateralpercutaneouskyphoplastycouldobviouslydecreasetheoperativetime,frequencyofXrayandamountofcement．Itwasagoodchoiceinthoracolumbarcompressionfractures,withn