[1]任海龙,王吉兴,陈建庭,等.单侧与双侧穿刺经皮椎体成形术治疗Kummell’s病的临床对比[J].南方医科大学学报,2014,(09):1370.
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单侧与双侧穿刺经皮椎体成形术治疗Kummell’s病的临床对比()
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《南方医科大学学报》[ISSN:/CN:]

卷:
期数:
2014年09期
页码:
1370
栏目:
出版日期:
2014-09-15

文章信息/Info

Title:
Clinical efficacy of unipedicular versus bipedicular percutaneous vertebroplasty for
Kummell’s disease
作者:
任海龙王吉兴陈建庭江建明
关键词:
椎体成形术Kummell’s病骨质疏松
Keywords:
vertebroplasty Kummell’s disease osteoporosis
摘要:
目的比较单侧与双侧椎弓根入路椎体成形术治疗Kummell’s病的临床疗效与安全性。方法回顾分析2006年1月~2011
年1月行椎体成形术的Kummell’s病患者,对比单侧与双侧椎弓根入路患者的临床疗效、手术时间、骨水泥灌注量、骨水泥渗漏
率、骨折椎体高度恢复程度及后凸矫正度数。结果单侧组手术时间明显短于双侧组(P<0.05),两组间骨水泥注入量、渗漏率、
术后椎体前缘压缩改善程度、椎体中央压缩改善程度及后凸矫正度数、随访VAS评分差异均无统计学意义(P>0.05)。两组术后
24 h、术后3个月及末次随访时VAS评分均明显低于术前,差异均有统计学意义(P<0.05)。结论单侧及双侧经椎弓根入路椎体
成形术在治疗Kummell’s病时均可取得满意的止痛效果,两者临床疗效无显著差异。在PVP治疗Kummell’s病时采用单侧穿刺
即可。
Abstract:
Objective To compare the clinical efficacy and safety of percutaneous vertebroplasty by unipedicular and
bipedicular approach for treatment of Kummell’s disease. Methods The clinical data of patients with Kummell’s disease
undergoing percutaneous vertebroplasty via unilateral or bilateral approach between January, 2006 and January, 2011 were
reviewed. The clinical efficacy, operation time, bone cement injection volume, incidence of cement leakage, degree of vertebral
height restoration, and degree of kyphosis correction were compared between the patients receiving surgery via the two
approaches. Results The operation time was shorter in the unipedicular group than in the bipedicular group (P<0.05), but bone
cement injection volume, incidence of cement leakage, degree of anterior vertebral height restoration, degree of middle
vertebral height restoration, degree of kyphosis correction, and VAS scores were all comparable between the two groups (P>
0.05). In both groups, the VAS scores at 24 h, 3 months and at the last follow-up after the surgery were lowered compared to
the preoperative scores (P<0.05). Conclusion Both unipedicular and bipedicular percutaneous vertebroplasty can achieve
satisfactory analgesia in the treatment of Kummell’s disease with similar clinical efficacy. The unipedicular approach is
sufficient for treatment of Kummell’s disease.

相似文献/References:

[1]曾明,赵新建,张健平,等.不同方式的椎体成形术治疗骨质疏松性椎体严重压缩性骨折[J].南方医科大学学报,2006,(05):640.
 ZENG Ming,ZHAO Xin-jian,ZHANG Jian-ping,et al.Different approaches of vertebroplasty for management of severe osteoporotic vertebral compression fractures[J].,2006,(09):640.
[2]张树芳,江建明,朱青安,等.胸腰椎压缩性骨折模型中geneX?骨水泥椎体成形术的生物力学评价[J].南方医科大学学报,2012,(06):843.
[3]杨德鸿,胡少宇,孟越,等.特立帕肽保守治疗骨质疏松性脊柱骨折:12例报告[J].南方医科大学学报,2016,(03):414.
[4]付兆宗,陈忠羡,秦英,等.骨水泥分布指数对椎体成形术后症状性邻近节段骨折的影响[J].南方医科大学学报,2017,(07):947.

更新日期/Last Update: 1900-01-01