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《国际骨科学杂志》[ISSN:1673-7083/CN:31-1952/R]

期数:

2020年06期

页码:

371-375

栏目:

临床研究

出版日期:

2020-12-20

文章信息/Info

Title:

Comparison between percutaneous vertebroplasty and kyphoplasty for treatment of Kummell's disease

作者:

姚高文; 余虹; 汪卫; 周永强; 王勇平; 陈晓

641000, 内江市第一人民医院骨科

Author(s):

YAO Gaowen;  YU Hong;  WANG Wei;  ZHOU Yongqiang;  WANG Yongping;  CHEN Xiao.

Department of Orthopaedics, Neijiang First People's Hospital, Neijiang 641000, China

关键词:

Kummell病;  经皮椎体成形术;  经皮椎体后凸成形术

Keywords:

Kummell's disease;  Percutaneous vertebroplasty;  Percutaneous kyphoplasty

分类号:

-

DOI:

10.3969/j.issn.1673-7083.2020.06.011

文献标识码:

A

摘要:

目的 探讨经皮椎体成形术(PVP)与经皮椎体后凸成形术(PKP)治疗Kummell病的临床效果。方法 回顾性分析2011年6月至2017年9月内江市第一人民医院收治的75例进行PVP或PKP的Kummell病患者的临床资料,其中PVP组35例,PKP组40例。记录两组患者术前及术后3 d、末次随访时疼痛视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI)、椎体前缘相对高度、伤椎矢状面Cobb角、骨水泥分布、骨水泥渗漏率、椎体再次塌陷骨折发生率等并进行分析比较。结果 两组术后VAS评分、ODI指数均较术前明显改善(P<0.05),术后3 d及末次随访时两组间VAS评分、ODI指数差异无统计学意义(P>0.05)。术后3 d及末次随访时两组间椎体前缘相对高度、伤椎矢状面Cobb角差异均有统计学意义(P<0.05),PKP组改善效果更佳。PKP组骨水泥分布以团块型为主(65%,26/40),PVP组以混合型为主(45.7%,16/35),两组间差异有统计学意义(P<0.05)。PKP组骨水泥渗漏率为12.5%(5/40),PVP组为22.8%(8/35),两组间差异有统计学意义(P<0.05)。PKP组椎体再次塌陷骨折发生率为7.5%(3/40),PVP组为2.8%(1/35),两组间差异无统计学意义(P>0.05)。结论 PVP与PKP治疗Kummell病均可取得满意效果,PKP在改善后凸畸形、恢复伤椎高度、避免骨水泥渗漏等方面较PVP可能更具优势。

Abstract:

Objective To investigate the clinical outcomes of percutaneous vertebroplasty(PVP)versus percutaneous kyphoplasty(PKP)in the treatment of Kummell's disease.Methods The clinical data of 75 patients with Kummell's disease undergoing PVP or PKP in the First

参考文献/References

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更新日期/Last Update: 2020-12-20