OALib Journal期刊
单侧椎弓根外侧入路椎体成形术治疗骨质疏松性椎体压缩骨折临床效果
, PP. 567-570
Keywords: 单侧椎弓根外侧入路 ,经皮椎体成形术 ,骨质疏松性
Abstract:
目的观察单侧椎弓根外侧入路经皮椎体成形术(percutaneousvertebroplasty,PVP)治疗骨质疏松性椎体压缩骨折的效果。方法2010年10月-2012年6月,施行椎体成形术治疗骨质疏松性椎体压缩骨折患者70例,其中采用单侧椎弓根入路22例(单侧组),双侧椎弓根入路24例(双侧组),单侧椎弓根外侧入路23例(外侧组),比较术前及术后的视觉模拟疼痛程度评分(VAS)及Oswestry功能障碍指数(ODI)评分;比较三组手术时间、单椎体骨水泥注入量及在椎体中的分布。结果三组患者手术均得到安全完成,单侧组手术时间15～40min,平均35min,单椎体骨水泥注入量为1.5～4mL,平均2.5mL/椎,术后伤椎的X线平片显示骨水泥分布在椎体一侧;双侧组手术时间40～80min,平均60min,单椎体骨水泥注入量为2.5～6mL,平均4.5mL/椎,术后伤椎的X线平片显示骨水泥均在椎体中央两侧;单侧椎弓根外侧入路组手术时间15～40min,平均30min,单椎体骨水泥注入量为2～4mL,平均3mL/椎。术后伤椎的X线平片显示骨水泥分布在椎体中央。术后视觉模拟疼痛程度评分及ODI功能障碍指数评分三组差异无统计学意义(P<0.05)。结论单侧椎弓根外侧入路可以运用于治疗骨质疏松性椎体压缩骨折,相对手术时间短,适合运用于临床。
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