| 侧方开口与前方开口骨水泥注射器经皮椎体后凸成形术治疗胸腰椎骨质疏松性椎体压缩骨折比较 |
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投稿时间：2023-09-12
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| 作者 | Author | 单位 | Unit | E-Mail |
| 董伟鑫 |
DONG Wei-xin |
宁波市第六医院脊柱外科, 浙江 宁波 315040 |
Department of Spinal Surgery, Ningbo No. 6 Hospital, Ningbo 315040, Zhejiang, China |
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| 储振涛 |
CHU Zhen-tao |
宁波市第六医院脊柱外科, 浙江 宁波 315040 |
Department of Spinal Surgery, Ningbo No. 6 Hospital, Ningbo 315040, Zhejiang, China |
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| 胡勇 |
HU Yong |
宁波市第六医院脊柱外科, 浙江 宁波 315040 |
Department of Spinal Surgery, Ningbo No. 6 Hospital, Ningbo 315040, Zhejiang, China |
huyong610@163.com |
| 赖欧杰 |
LAI Ou-jie |
宁波市第六医院脊柱外科, 浙江 宁波 315040 |
Department of Spinal Surgery, Ningbo No. 6 Hospital, Ningbo 315040, Zhejiang, China |
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| 袁振山 |
YUAN Zhen-shan |
宁波市第六医院脊柱外科, 浙江 宁波 315040 |
Department of Spinal Surgery, Ningbo No. 6 Hospital, Ningbo 315040, Zhejiang, China |
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| 孙肖阳 |
SUN Xiao-yang |
宁波市第六医院脊柱外科, 浙江 宁波 315040 |
Department of Spinal Surgery, Ningbo No. 6 Hospital, Ningbo 315040, Zhejiang, China |
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| 期刊信息：《中国骨伤》2025年38卷，第2期，第128-133页 |
| DOI：10.12200/j.issn.1003-0034.20230284 |
| 基金项目:2022年度宁波市卫生健康科技计划项目(编号:2022Y41);2023年度鄞州区农业与社会发展科技项目(编号:2023AS022) |
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目的: 比较侧方开口骨水泥注射器和前方开口骨水泥注射器经皮椎体后凸成形术(percutaneous kyphoplasty,PKP)治疗胸腰椎骨质疏松性椎体压缩骨折(osteoporotic vertebral compression fractures,OVCFs)临床疗效。
方法: 回顾性分析2020年6月至2021年10月收治的62例行双侧PKP治疗胸腰段(T11-L2)单节段OVCFs的患者资料。按术中使用骨水泥注射器不同,将患者分为侧方开口组29例和前方开口组33例,其中侧方开口组男6例,女23例,年龄(73.32±9.11)岁;前方开口组男7例,女26例,年龄(71.29±10.39)岁。观察比较患者的性别、年龄、骨密度(bone mineral density,BMD)、骨折节段(T11-L2)、手术时间、骨水泥注入量、骨水泥分布类型(分叶型、弥散型)、骨水泥渗漏情况及手术前后疼痛视觉模拟评分(visual analogue scale,VAS)和椎体压缩率。
结果: 所有患者顺利完成手术,随访时间(15.37±3.03)个月。两组患者性别、年龄、BMD、骨折节段、术前椎体压缩程度和VAS比较,差异均无统计学意义(P>0.05)。两组手术时间、骨水泥注入量、椎体内骨水泥分布比较,差异均无统计学意义(P>0.05)。侧方开口组和前方开口组在术后3 d、6个月VAS均较术前改善(P<0.05),但是两组在术后3 d、6个月时VAS差异均无统计学意义(P>0.05)。
结论: 在T11-L2单节段OVCF患者行双侧PKP手术时,采用侧方开口骨水泥注射器能达到与前方开口骨水泥注射器治疗同样的临床疗效,并且对骨水泥分布和渗漏问题的改善不明显。 |
| [关键词]:椎体压缩性骨折 骨质疏松 经皮椎体后凸成形术 骨水泥注射器 |
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| Comparison of side-opening and front-opening approach bone cement injectors in percutaneous kyphoplasty for thoracolumbar osteoporotic vertebral compression fractures |
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Abstract:
Objective To compare clinical efficacy between side-opening and front-opening bone cement injectors in percutaneous kyphoplasty(PKP) for the management of thoracolumbar osteoporotic vertebral compression fractures(OVCFs).
Methods A retrospective cohort study was conducted,comprising 62 patients with single-segment thoracolumbar OVCFs (T11-L2),who underwent bilateral PKP at our department during the period from June 2020 to October 2021. Patients were categorized into two groups based on the specific bone cement injector employed during the surgical procedure:the side-opening group (n=29) and the front-opening group (n=33). Among them,the side-opening group consisted of 6 male and 23 female patients,with a mean age of (73.32±9.11) years. The front-opening group included 7 male and 26 female patients,with a mean age of (71.29±10.39) years. The variables encompassed essential patient characteristics were recorded,such as gender,age,bone mineral density (BMD),and fracture level (T11-L2),as well as procedural aspects,including operation duration,cement injection volume,cement distribution type (lobular or diffuse),occurrence of cement leakage,pre-and post-operative visual analogue scale (VAS) pain scores,and vertebral compression ratio.
Results All patients underwent successful surgery,with a mean follow-up duration of (15.37±3.03) months. There were no statistically significant differences in gender,age,BMD,fracture level,preoperative vertebral compression degree,and VAS scores between the side-opening group and the front-opening group (P>0.05). The operation time,the mean cement injection volumes,the distribution of bone cement within the vertebrae has no statistically significant difference between two groups(P>0.05). Both the side-opening and front-opening groups showed significant improvements in VAS scores at 3 days and 6 months after operation (P<0.05). However,there was no significant difference in VAS scores between the two groups at both 3 days and 6 months after the operation (P>0.05).
Conclusion Side-opening bone cement injectors in bilateral PKP surgery for single-segment thoracolumbar OVCF achieve similar clinical efficacy as front-opening injectors,without significant improvement in cement distribution and containment. |
| KEYWORDS:Vertebral compression fractures Osteoporosis Percutaneous kyphoplasty(PKP) Bone cement injector |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 董伟鑫,储振涛,胡勇,赖欧杰,袁振山,孙肖阳.侧方开口与前方开口骨水泥注射器经皮椎体后凸成形术治疗胸腰椎骨质疏松性椎体压缩骨折比较[J].中国骨伤,2025,38(2):128~133 |
| 英文格式: | DONG Wei-xin,CHU Zhen-tao,HU Yong,LAI Ou-jie,YUAN Zhen-shan,SUN Xiao-yang.Comparison of side-opening and front-opening approach bone cement injectors in percutaneous kyphoplasty for thoracolumbar osteoporotic vertebral compression fractures[J].zhongguo gu shang / China J Orthop Trauma ,2025,38(2):128~133 |
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