河北医学Issue(5)：774-777,4.DOI:10.3969/j.issn.1006-6233.2015.05.022
高粘度骨水泥在治疗骨质疏松性椎体压缩骨折中的临床应用
The Clinical Application of High Viscosity bone Cement in the Treatment of Osteoporotic Vertebral Compression
摘要
Abstract
Objective:To discuss the application effect and characteristics of high viscosity bone cement in osteoporotic vertebral compression fractures with percutaneous vertebroplasty ( PVP ) .Method:50 cases of osteoporotic vertebral compression fractures were randomly divided into 2 groups in Shiyan People's Hospi-tal from 2014 to Jan2015.25 cases in study group treated with PVP received high viscosity bone cement and 25 cases in control group treated with PVP received ordinary bone cement.Result: The preoperative Cobb angle showed no statistical difference between two groups ( P>0.05) .Cobb angle postoperative 2 days and 6 months in study group was significantly lower than that in control group (t=4.286, 6.218, P<0.05).Cobb angle postoperative 2 days and 6 months was significantly lower than preoperative within study group and within control group ( t=47.700, 49.827, 39.212, 43.303, P<0.01) .The preoperative VAS scores showed no statistical difference between two groups (P>0.05).VAS scores postoperative 2 days and 6 months in study group was significantly lower than that in control group ( t=1.974, 2.577, P<0.05) .VAS scores post-operative 2 days and 6 months was significantly lower than preoperative within study group and within control group (t =41.283, 44.455, 41.124, 40.135, P<0.05).The preoperative ODI levels showed no statistical difference between two groups ( P>0.05) .ODI levels postoperative 2 days and 6 months in study group was significantly lower than that in control group (t=4.286, 6.218, P<0.05).ODI levels postoperative 2 days and 6 months was significantly lower than preoperative within study group and within control group ( t=47. 700, 49.827, 39.212, 43.303, P<0.01) .The complication rate of study group was 2%( 2/100) , signifi-cantly lower than that of control group 18%( 18/100) (χ2=14.222, P<0.01) .Conclusion:High viscosity bone cement has good clinical effects in restoration of vertebral body physiological structure and strength, re-duce the leakage, and reduce the heat of polymerization injury, which can be used in clinical treatment and application of osteoporotic vertebral compression fractures.关键词
高粘度骨水泥/骨质疏松性椎体压缩骨折/聚甲基丙烯酸甲酯Key words
High viscosity bone cement/Osteoporotic vertebral compression fractures/Polymeth-yl methacrylate引用本文复制引用
熊文华,杨云海,林卓锋..高粘度骨水泥在治疗骨质疏松性椎体压缩骨折中的临床应用[J].河北医学,2015,(5):774-777,4.基金项目
国家自然科技项目， （）
