| 单侧经皮椎弓根下入路椎体成形术治疗老年胸椎骨质疏松性骨折 |
| 投稿时间：2016-10-21 修订日期：2016-10-26 点此下载全文 |
| 引用本文：陈伟富,王章富,洪正华,米爽,陈海啸.单侧经皮椎弓根下入路椎体成形术治疗老年胸椎骨质疏松性骨折[J].医学研究杂志,2017,46(6):47-50 |
| DOI：
10.11969/j.issn.1673-548X.2017.06.013 |
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| 基金项目:国家自然科学基金资助项目（81272059） |
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| 中文摘要:目的 探讨经皮单侧椎弓根下入路椎体成形术治疗胸椎骨质疏松性骨折临床疗效和安全性。方法 2014年3月~2015年10月在笔者医院6例胸椎骨质疏松性骨折患者被随机分为两组，其中单侧经椎弓根下入路组32例，双侧经椎弓根34例。对两组患者的临床资料进行前瞻性分析，比较两组患者的临床疗效及安全性。结果 所有患者均获得1年以上随访，两组患者术前临床资料差异无统计学意义（P>0.05）。两组患者骨水泥注射量比较，差异无统计学意义（P>0.05）。两组患者术后VAS、ODI评分均较术前明显改善，但两组患者术中、术后24h VAS、ODI评分，单侧组小于双侧组，两组差异有统计学意义（P<0.05），而其他时间点比较，差异无统计学意义。两组患者手术时间、术中透视次数、骨水泥渗漏发生率，单侧组小于双侧组，两组差异有统计学意义（P<0.05）。结论 经皮单侧胸椎椎弓根下入路椎体成形术治疗骨质疏松椎体骨折具有损伤小、手术时间短、骨水泥渗漏发生率低、术后恢复更快的优点。 |
| 中文关键词:单侧经皮胸椎椎弓根下入路 椎体成形术 骨质疏松性骨折 |
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| Percutaneous Vertebroplasty for Thoracic Osteoporotic Fracture In Elderly By Unilateral Infrapedicular Approach |
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| Abstract:Objective To investigate the clinical efficacy and safety of PVP by unilateral infrapedicular approach in treatment of elderly thoracic osteoporotic fracture. Methods From March 2014 to October 2015,66 patients with single level thoracic osteoporotic vertebral compression fracture were randomly divided into two groups.Thirty two patients were performed by PVP through unilateral infrapedicular approach and 34 patients through bipedicular approach.The clinical data of patients were prospectively analyzed and the clinical efficacy were compared between two groups. Results All the patients were followed up for more than 1 year. There was no significant difference in clinical data between the two groups before surgery (P>0.05). There was no significant difference in cement injection volume between the two groups. The VAS and ODI score were greatly improved in two groups compare to preoperation,but the unilateral group was significant less than bilateral group at time in operation and 24h after surgery (P<0.05). No significant difference was found at other times. The operation time, intraoperative X-ray times, and bone cement leakage rate, in unilateral infrapedicular aproach group was much less than bilateral transpedicle approach group (P<0.05). Conclusion Treatment of thoracic osteoporotic vertebral fractures by percutaneous unilateral infrapedicular approach has the advantages of less trauma, shorter operation time, lower incidence of cement leakage, and faster recovery. |
| keywords:Unilateral infrapedicular approach percutaneous Vertebroplasty Osteoporotic fracture |
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