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《單側(cè)和雙側(cè)經(jīng)皮椎體后凸成形術(shù)治療骨質(zhì)疏松椎體壓縮性骨折對比探究》由會員上傳分享,免費(fèi)在線閱讀,更多相關(guān)內(nèi)容在工程資料-天天文庫。
1、單側(cè)和雙側(cè)經(jīng)皮椎體后凸成形術(shù)治療骨質(zhì)疏松椎體壓縮性骨折對比探究[摘要]目的比較單側(cè)及雙側(cè)經(jīng)皮椎體后凸成形術(shù)治療骨質(zhì)疏松椎體壓縮性骨折的療效。方法選擇2010年1月?2013年1月我院收治的60例中老年骨質(zhì)疏松性椎體壓縮性骨折患者,分為兩組,分別采用單側(cè)及雙側(cè)經(jīng)皮椎體后凸成形術(shù)治療,比較治療效果。結(jié)果觀察組手術(shù)時(shí)間、術(shù)中出血量及骨水泥灌注量均明顯短(少)于對照組,兩組患者術(shù)后的椎體高度、局部Cobb角、VAS評分及0DI評分均較術(shù)前明顯改善,但兩組間比較差異不顯著。結(jié)論單側(cè)經(jīng)皮椎體后凸成形術(shù)具有手術(shù)時(shí)間短、創(chuàng)傷小等優(yōu)點(diǎn),更適宜中老年患者的選擇。[關(guān)鍵詞
2、]經(jīng)皮椎體后凸成形術(shù);骨質(zhì)疏松椎體壓縮性骨折;老年患者[中圖分類號]R687.3[文獻(xiàn)標(biāo)識碼]B[文章編號]2095-0616(2013)14-185-03ComparativestudyofunilateralandbilateralpercutaneouskyphoplastyinthetreatmentofosteoporoticvertebralcompressionfractureLIUBoCHENGuochengDENGLipingYEWenpingLIUFengYEQingshanGUZiyunXIEYushanThePeople'sH
3、ospitalofZhongkaiHi-techIndustrialDevelopmentZoneinHuizhouCity,Huizhou516229,China[Abstroct]ObjectiveTocomparethecurativeeffectofunilateralandbilateralpercutaneouskyphoplastyinthetreatmentofosteoporoticvertebralcompressionfractures?Methods60seniorcaseswithosteoporoticvertebralc
4、ompressionfracturesinourhospitalfromJanuary2010toJanuary2013wereselectedanddividedequallyintotwogroupswithunilateralandbilateralpercutaneouskyphoplastytreatmentrespectively.Thecurativeeffectoftwogroupswerecompared.ResultsTheoperativetime,bloodlossandbonecementperfusionintheobse
5、rvationgroupweresignificantlyshorter(less)thanthoseinthecontrolgroup.Thepostoperativevertebralheight,localCobbangle,VASscoresandODIscoresofpatientsintwogroupsaftertheoperationwereimprovedmoresignificantlythanthatbeforetheoperation,butthedifferencebetweentwogroupswasnotsignifica
6、nt.ConclusionUnilateralpercutaneouskyphoplastyhastheadvantagesofshorteroperationtime,lesstrauma,andismoresuitableforseniorpatients,selection.[Keywords]Percutaneouskyphoplasty;Osteoporoticvertebralcompressionfracture;Elderlypatients骨質(zhì)疏松性椎體壓縮骨折(OVCF)患者常表現(xiàn)為劇烈的腰背部疼痛,身長縮短、駝背,嚴(yán)重者肺功能的
7、下降,甚至喪失勞動及生活自理能力,嚴(yán)重影響生活質(zhì)量,給患者帶來巨大的痛苦[1]。經(jīng)皮椎體后凸成形術(shù)(PKP)是一種新的微創(chuàng)手術(shù),本研究對單、雙側(cè)PKP治療骨質(zhì)疏松椎體壓縮性骨折進(jìn)行對比研究,以探究其近期及遠(yuǎn)期療效。1資料與方法1.1一般資料選擇2010年1月?2013年1月我院收治的60例骨質(zhì)疏松性椎體壓縮性骨折,男36例,女24例,年齡50?80歲,平均(62.31±12,14)歲,病例納入標(biāo)準(zhǔn):(1)臨床具有明顯的腰背部疼痛癥狀,伴活動困難,伴或不伴受傷史,無神經(jīng)功能受損;(2)雙能X線骨密度儀檢查腰椎骨密度(BMD)確診為骨質(zhì)疏松,經(jīng)影像學(xué)檢查
8、(X線片、CT、MRI)確診為新鮮或亞急性期0VCF,并排除脊柱原發(fā)性或轉(zhuǎn)移性腫瘤;(3)無絕對手術(shù)禁忌證,