[1]王鑫鑫,张宁宁,李林军.改良单侧经皮椎体成形术治疗骨质疏松性腰椎压缩骨折[J].中医正骨,2022,34(12):68-70,72.
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改良单侧经皮椎体成形术治疗骨质疏松性腰椎压缩骨折()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第34卷
期数:
2022年12期
页码:
68-70,72
栏目:
临床报道
出版日期:
2022-12-02

文章信息/Info

作者:
王鑫鑫; 张宁宁; 李林军
(周口市中心医院,河南 周口 466000)
关键词:
腰椎;  椎体成形术;  骨质疏松性骨折;  骨折; 压缩性
摘要:
目的:观察改良单侧经皮椎体成形术(percutaneous vertebroplasty,PVP)治疗骨质疏松性腰椎压缩骨折的临床疗效及安全性。方法:2019年5月至2020年5月,采用改良单侧PVP治疗骨质疏松性腰椎压缩骨折患者35例。男10例,女25例。年龄 60～85岁,中位数69岁。骨折节段为L113例、L28例、L37例、L45例、L52例。骨折至手术时间5～8 d,中位数5 d。采用疼痛视觉模拟量表(visual analogue scale,VAS)评分评价腰部疼痛程度,采用Oswestry功能障碍指数(Oswestry disability index,ODI)评价腰椎功能,术后随访观察并发症发生情况。结果:所有患者均获随访,随访时间6～18个月,中位数10个月。腰部疼痛VAS评分,术前(7.3±1.2)分、术后3个月(2.5±1.3)分、末次随访时(2.3±1.5)分。ODI,术前(54.3±5.0)%、术后3个月(20.4±3.4)%、末次随访时(19.3±5.6)%。术后1例患者出现术侧下肢麻木症状,术后1 d症状消失,原因可能是麻醉药刺激神经根; 5例患者出现骨水泥渗漏,其中2例渗漏至椎前静脉丛、3例渗漏至椎间隙。结论:改良单侧PVP治疗骨质疏松性腰椎压缩骨折,可以有效减轻腰部疼痛、改善腰椎功能,且安全性较高,值得临床推广应用。

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(收稿日期:2021-09-23 本文编辑:郭毅曼)

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备注/Memo

备注/Memo:
通讯作者:王鑫鑫 E-mail:195724079@qq.com
更新日期/Last Update: 1900-01-01