| 朱 博.单双侧经皮椎体成形术治疗骨质疏松性椎体压缩性骨折疗效对比[J].中国烧伤创疡杂志,2022,(3):189~192. |
| DOI： |
| 中文关键词: 单侧经皮椎体成形术 双侧经皮椎体成形术 骨质疏松 椎体压缩性骨折 手术时间 |
| 英文关键词:Unilateral percutaneous vertebroplasty Bilateral percutaneous vertebroplasty Osteoporosis Vertebral compression fracture Surgery time |
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| 中文摘要: |
| 【摘要】 目的 对比分析单双侧经皮椎体成形术治疗骨质疏松性椎体压缩性骨折的临床效果? 方法 选取2018 年 5 月至 2020 年 6 月河南省洛阳正骨医院收治的 104 例骨质疏松性椎体压缩性骨折患者作为研究对象, 并按照治疗方法将其分为单侧组与双侧组, 每组 52 例? 单侧组患者采用单侧经皮椎体成形术治疗, 双侧组患者采用双侧经皮椎体成形术治疗, 对比两组患者手术时间、视觉模拟评分法 (VAS) 评分、椎体前缘高度、Cobb 角以及并发症发生情况? 结果 单侧组患者手术时间明显短于双侧组 (t = 29.664, P < 0.001); 术后 1 个月, 单侧组患者VAS评分、椎体前缘高度及 Cobb 角与双侧组无明显差异 ( t = 0.312、0.487、0.657, P = 0.756、0.627?0.513); 单侧组患者并发症发生率与双侧组无明显差异 (χ2= 0.343, P = 0.558)? 结论 单双侧经皮椎体成形术治疗骨质疏松性椎体压缩性骨折均可取得满意的治疗效果, 但单侧经皮椎体成形术手术时间较短, 操作更简便? |
| 英文摘要: |
| 【Abstract】 Objective To compare the clinical efficacy of unilateral and bilateral percutaneous vertebroplasty in the treatment of osteoporotic vertebral compression fractures. Methods 104 patients with osteoporotic vertebral compression fractures admitted into Luoyang Orthopedic?Traumatological Hospital of Henan Province between May 2018 and June 2020 were enrolled as subjects of research, and divided into unilateral group (n = 52) which received unilateral percutaneous vertebroplasty, and bilateral group ( n = 52) which received bilateral percutaneous vertebroplasty. Surgery time, visual analogue scale (VAS) score, anterior border height of vertebral body, Cobb angle and the occurrence of complications were compared between the two groups. Results The surgery time in unilateral group was obviously shorter than bilateral group (t = 29.664, P < 0.001). One month after operation, no significant differences were observed between the two groups in terms of VAS score, anterior border height of vertebral body, and Cobb angle ( t = 0.312, 0.487 and 0.657, P = 0.756,0.627 and 0.513); the incidence of complications of patients in unilateral group didn’t differ significantly from that in bilateral group ( χ2= 0.343, P = 0.558). Conclusion Both unilateral and bilateral percutaneous vertebroplasty can achieve satisfactory clinical efficacy in the treatment of osteoporotic vertebral compression fractures, but the unilateral approach requires a shorter surgery time and is easier to operate. |
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