中国骨伤2025，Vol.38Issue(2)：114-118,5.DOI:10.12200/j.issn.1003-0034.20230418
医学影像信息系统术前规划个性化穿刺方案在经皮椎体成形术治疗老年骨质疏松性椎体压缩骨折中的应用
Clinical efficacy analysis of PACS preoperative planning in percutaneous vertebroplasty for the treatment of osteo-porotic vertebral compression fractures in the elderly
摘要
Abstract
Objective To explore the clinical effect of personalized puncture planning before surgery using Picture Archiv-ing and Communication System(PACS)in the treatment of osteoporotic vertebral compression fractures in the elderly.Meth-ods A total of 69 elderly patients with osteoporotic vertebral compression fractures treated by percutaneous vertebroplasty from January 2020 20 to December 2021 with more than 1 year of follow-up were analyzed retrospectively.Thirty-four patients were individualized for preoperative planning with PACS software(observation group),including 8 males and 26 females,with a mean age of(73.30±7.96)years old;and 35 patients were treated with conventional treatment(control group),including 7 males and 28 females,with a mean age of(77.30±7.84)years old.The operation time,the amount of cement injection,cement leakage rate,bone watertight diffusion and refracture within 1 year between two groups were observed and compared.The Cobb's angle,low back pain visual analogue scale(VAS)and the modified Oswsetry disability indexes(ODI)before surgery and 1 day,1 year after surgery were compared between two groups.Results Both groups successfully completed the operation without serious surgical complications,2 refractures occurred in the control group.The operation time in the observation group was(41.9±1 1.9)min,which was less than that in the control group(52.7±13.6)min(P＜0.05).There was no significant differ-ence in the cement injection volume between two groups(P＞0.05).Two cases of cement leakage in the observation group was less than 8 in the control group(P＜0.05).The bone cement distribution index of two groups had significant difference(P＜0.05).There were no significant differences between two groups in Cobb's angle of the injured vertebras and ODI before and 1 day after surgery(P＞0.05),however,the comparative differences were statistically significant at 1 year after surgery(P＜0.05).There was no significant difference in the VAS between two groups at each time period(P＞0.05).Conclusion Using the PACS software to plan personalized puncture scheme can reduce the operation time,reduce the cement leakage rate,improve the diffusion of bone cement and longer maintain the postoperative form of vertebral body and the functional state of patients'lumbar back.关键词
个性化穿刺/骨质疏松/椎体压缩性骨折/经皮椎体成形术/骨水泥渗漏Key words
Personalized puncture/Osteoporosis/Vertebral compression fractures/Percutaneous vertebroplasty(PVP)/Bone cement leakage分类
临床医学引用本文复制引用
陈琛,李大伟,马壮田,华堃池,李尧,高雁卿,邱淳烈..医学影像信息系统术前规划个性化穿刺方案在经皮椎体成形术治疗老年骨质疏松性椎体压缩骨折中的应用[J].中国骨伤,2025,38(2):114-118,5.基金项目
国家自然科学基金(编号:81972081)National Natural Science Foundation of China(No.81972081) （编号:81972081）
