中外医学研究2024，Vol.22Issue(11)：18-21,4.DOI:10.14033/j.cnki.cfmr.2024.11.005
预防性骨水泥灌注强化对胸腰段骨质疏松性VCFs的疗效
Effect of Preventive Bone Cement Perfusion Reinforcement on Thoracolumbar Osteoporotic VCFs Patients
摘要
Abstract
Objective:To investigate the effect of preventive bone cement perfusion reinforcement on thoracolumbar osteoporotic vertebral compression fractures(VCFs).Method:A total of 100 patients with thoracolumbar osteoporotic VCFs treated in the Third People's Hospital of Kunshan City from September 2021 to January 2023 were randomly divided into control group and observation group,with 50 cases in each group.The control group was treated with percutaneous vertebroplasty(PVP)or percutaneous kyphoplasty(PKP),and the observation group was treated with preventive bone cement perfusion reinforcement to adjacent normal vertebroplasty on the basis of the control group.Preoperative and postoperative visual analogue scale(VAS)scores,injured vertebra height,Cobb Angle,quality of life and the incidence of refracture of adjacent vertebra during follow-up were compared between the two groups.Result:Before surgery,there were no significant differences in VAS score,injured vertebral height,Cobb angle and the MOS item short from health survey(SF-36)score between the two groups(P>0.05).At 3 months and 6 months after surgery,VAS scores in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).At 3 months and 6 months after surgery,the height of injured vertebra in observation group were higher than those in control group,and the Cobb angle were lower than those in control group,the differences were statistically significant(P<0.05).At 3 months and 6 months after surgery,SF-36 scores in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The incidence of refracture of adjacent vertebra in the observation group was 0,which was lower than 12.00%(6/50)in the control group,and the difference was statistically significant(χ2=4.433,P=0.035).Conclusion:Preventive bone cement perfusion reinforcement can effectively improve the vertebral function of patients with thoracolumbar osteoporotic VCFs,improve the quality of life of patients in the near and long term,and reduce the incidence of distant vertebral refracture.关键词
胸腰段骨质疏松/椎体压缩性骨折/预防性骨水泥灌注强化Key words
Thoracolumbar osteoporosis/Thoracolumbar osteoporotic vertebral compression fractures/Preventive bone cement perfusion reinforcement引用本文复制引用
郭锐,沈洪弟,崔烨平,魏志祥,钱蔚,沈杰..预防性骨水泥灌注强化对胸腰段骨质疏松性VCFs的疗效[J].中外医学研究,2024,22(11):18-21,4.基金项目
2021年昆山市重点研发计划项目(KSF202103) （KSF202103）
