中国全科医学2017，Vol.20Issue(36)：4517-4522,6.DOI:10.3969/j.issn.1007-9572.2017.00.164
过伸体位下球囊多点扩张行经皮椎体后凸成形术治疗新鲜脊柱压缩性骨折的疗效研究
Clinical Effect of Percutaneous Kyphoplasty with Multiple Balloon Dilation in Hyperextension Position in the Treatment of Fresh Vertebral Compression Fractures
摘要
Abstract
Objective To investigate the clinical effect of percutaneous kyphoplasty (PKP)with multiple balloon dilation in hyperextension position in the treatment of fresh vertebral compression fractures. Methods The clinical data of 78 patients with fresh vertebral compression fractures receiving PKP from February 2011 to September 2014 were retrospectively analyzed. According to the surgical method,they were divided into the observation group (n = 36,PKP with multiple balloon dilatation in hyperextension position)and control group (n = 42,PKP with single balloon dilatation in prone position). The duration of surgery,duration of radiation exposure,amount of bone cement injected,incidence of bone cement leakage,the visual analogue scale (VAS),relative height of the injured vertebrae and the local Cobb angle measured before and after surgery were compared between the two groups. Results Both groups underwent the surgery successfully,and received an average follow- up of 22. 8 months (range 18 to 24 months). The observation group and the control group were found with similar duration of surgery 〔(48. 3 ± 5. 1)min vs. (41. 9 ± 3. 7)min〕,similar duration of radiation exposure 〔(4. 6 ± 1. 7)min vs. (4. 1 ± 1. 2)〕as well as similar incidence of bone cement leakage 〔13. 9％ (5 / 36)vs. 14. 3％ (6 / 42)〕(all P > 0. 05). The amount of bone cement injected in the observation group was much more than that in the control group 〔(5. 8 ± 0. 5)ml vs. (3. 1 ± 0. 5)ml〕(P < 0. 05). The relative height of injured vertebrae and local Cobb angle measured at 1 week after surgery and 1 year after surgery differed significantly between the two groups (P < 0. 05). Conclusion Compared with the normal PKP surgery,PKP with multiple balloon dilation in hyperextension position is simple and safe,which can improve the reduction of the fractured vertebral body,partially ameliorate the kyphosis deformity,increase the amount of bone cement injected under low pressures without significantly prolonging the duration of surgery and radiation exposure and the incidence of bone cement leakage.关键词
椎体后凸成型术/脊柱过伸复位/椎体骨折/手术中并发症Key words
Kyphoplasty/Hyperextension position/Spinal fractures/Intraoperative complications分类
医药卫生引用本文复制引用
李玉伟,王海蛟,崔巍,李程,周鹏..过伸体位下球囊多点扩张行经皮椎体后凸成形术治疗新鲜脊柱压缩性骨折的疗效研究[J].中国全科医学,2017,20(36):4517-4522,6.基金项目
卫计委医药卫生科技发展研究中心项目(W2014ZT096) （W2014ZT096）
