椎體成形術單雙側注入骨水泥治療OVCF的效果分析

楊杰 彭旭東 葉小斌

摘 ? 要：目的 ?探討椎體成形術單雙側注入骨水泥治療骨質疏松性椎體壓縮骨折的效果。方法 ?選取我院于2015年1月～2017年10月收治的70例骨質疏松性椎體壓縮骨折患者為研究對象，隨機分為對照組和觀察組，每組35例。對照組給予單側注入骨水泥椎體成形術，觀察組給予雙側注入骨水泥椎體成形術治療。比較兩組手術時間、住院時間、并發癥發生率及生活質量。結果 ?對照組骨折患者手術時間較觀察組短，住院時間較觀察組長，差異有統計學意義（P<0.05）;對照組骨水泥滲漏，椎管狹窄、肺栓塞的發生率均高于對照組，但兩組比較差異無統計學意義（P>0.05）;對照組并發癥總的發生率高于觀察組，差異有統計學意義（P<0.05）;兩組患者均未失訪，術前及出院后3個月生活質量評分比較，差異無統計學意義（P>0.05）;而出院后6個月、出院后1年生活質量評分比較，觀察組高于對照組，差異有統計學意義（P<0.05）。結論 ?骨質疏松性椎體壓縮骨折患者的椎體成形術治療中，與單側注入骨水泥相比，雙側注入骨水泥治療可縮短其住院時間，改善其生活質量。

關鍵詞：椎體成形術;單雙側注入骨水泥;骨水泥滲漏

中圖分類號：R687.3 ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? 文獻標識碼：A ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? DOI：10.3969/j.issn.1006-1959.2018.24.026

文章編號：1006-1959（2018）24-0095-03

Abstract：Objective ?To explore the offect of vertebroplasty with single and bilateral injection of bone cement in the treatment of OVCF. Methods ?70 patients with osteoporotic vertebral compression fractures admitted to our hospital from January 2015 to October 2017 were randomly divided into control group and observation group， with 35 cases in each group. The control group was treated with unilateral infusion of cemented vertebroplasty， and the observation group was treated with bilateral infusion of cemented vertebroplasty. The operation time， hospitalization time， complication rate and quality of life were compared between the two groups. Results ?The operative time of fracture patients in the control group was shorter than that in the observation group， and the hospitalization time was significantly shorter than that in the observation group （P<0.05）.The incidence of cement leakage， spinal stenosis and pulmonary embolism in the control group were higher than those in the control group， but there was no significant difference between the two groups （P>0.05）. The total incidence of complications in the control group was higher than that in the observation group，the difference was statistically significant （P<0.05）. There was no loss of follow-up in both groups. There was no significant difference in quality of life score between preoperative and post-discharge 3 months （P>0.05）. 6 months after discharge，the 1-year life quality scores after discharge were higher in the observation group than in the control group，the difference was statistically significant （P<0.05）. Conclusion ?In the treatment of vertebroplasty in patients with osteoporotic vertebral compression fractures， bilateral bone cement injection can reduce the incidence of complications and shorten the hospital stay compared with unilateral injection of bone cement.

Key words：Vertebroplasty;Single and double side injection of bone cement;Bone cement leakage

骨質疏松性椎體壓縮骨折（osteoporotic vertebral compression fracture，OVCF）是一種多見于老年人的常見骨折[1]。隨著醫學技術的不斷發展，骨折的手術治療體系愈發完善。目前，椎體成形術已經成為臨床治療骨質疏松性椎體壓縮骨折治療的常用方法[2]。但關于術中骨水泥的注入方法，尚未形成統一的標準。本研究比較了單、雙側注入骨水泥的差異，判斷其在椎體成形術中的應用價值，現報告如下。

1資料與方法

1.1一般資料 ?選取貴溪市人民醫院于2015年1月～2017年10月收治的骨質疏松性椎體壓縮骨折患者70例為研究對象。納入標準：①符合骨質疏松性椎體壓縮性骨折的診斷標準;②接受手術治療;③患者均知情同意并簽署知情同意書。……