[1]张会,鄢卫平,刘卫义,等.骨质疏松性椎体压缩骨折椎体强化术后残余腰背痛的影响因素分析[J].中医正骨,2024,36(08):31-34.
　ZHANG Hui,YAN Weiping,LIU Weiyi,et al.Factors influencing residual low back pain after vertebral augmentation for treatment of osteoporotic vertebral compression fracture[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2024,36(08):31-34.
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骨质疏松性椎体压缩骨折椎体强化术后残余腰背痛的影响因素分析()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第36卷
期数:
2024年08期
页码:
31-34
栏目:
临床研究
出版日期:
2024-08-20

文章信息/Info

Title:
Factors influencing residual low back pain after vertebral augmentation for treatment of osteoporotic vertebral compression fracture
作者:
张会1; 鄢卫平2; 刘卫义1; 郭广宇1; 李佳坤1; 段文帅1; 毛建伟1
1.甘肃中医药大学,甘肃 兰州 730000; 2.甘肃省中医院,甘肃 兰州 730050
Author(s):
ZHANG Hui1; YAN Weiping2; LIU Weiyi1; GUO Guangyu1; LI Jiakun1; DUAN Wenshuai1; MAO Jianwei1
1.Gansu University of Chinese Medicine,Lanzhou 730000,Gansu,China 2.Gansu Provincial Hospital of TCM,Lanzhou 730050,Gansu,China
关键词:
腰痛;  背痛;  骨质疏松性骨折;  脊柱骨折;  骨折; 压缩性;  椎体成形术;  后凸成型术
摘要:
目的:分析骨质疏松性椎体压缩骨折(osteoporotic vertebral compression fracture,OVCF)椎体强化术后残余腰背痛的影响因素。方法:回顾性分析采用椎体强化手术治疗的OVCF患者的病例资料,提取性别、年龄、体质量、是否合并糖尿病、是否合并高血压、是否有脊柱外伤史、是否合并Kümmell病、手术方式、骨水泥注入量、骨水泥分布情况、是否合并术后椎体感染、术前和术后1年椎体高度压缩比、术前和术后1年椎体后凸Cobb角及术后1年是否残余腰背痛等信息。根据术后1年患者是否残余腰背痛,将纳入研究的患者分为术后残余腰背痛组和术后无残余腰背痛组。先对2组患者的相关信息进行单因素分析,再采用多因素Logistic回归分析OVCF椎体强化术后残余腰背痛的影响因素。结果:共纳入602例OVCF患者,其中术后残余腰背痛组患者52例、术后无残余腰背痛组550例。2组患者是否有脊柱外伤史、是否合并Kümmell病、骨水泥注入量、骨水泥分布情况、术后1年椎体高度压缩比、术后1年椎体后凸Cobb角比较,组间差异均有统计学意义[χ2=16.062,P=0.000; χ2=6.453,P=0.011;(3.65±0.70)mL,(4.25±0.94)mL,t=-2.249,P=0.031; χ2=12.366,P=0.000;(30.93±3.97)%,(23.21±4.02)%,t=6.917,P=0.000; 12.41°±3.69°,6.82°±2.63°,t=0.065,P=0.000]。Logistic回归分析结果显示,合并Kümmell病、骨水泥分布不理想、术后1年椎体高度压缩比偏大、术后1年椎体后凸Cobb角偏大是OVCF椎体强化术后1年仍残余腰背痛的危险因素(β=1.682,P=0.031,OR=0.153; β=0.893,P=0.047,OR=2.202; β=0.635,P=0.014,OR=0.359; β=0.721,P=0.040,OR=0.762)。结论:合并Kümmell病、骨水泥分布不理想、术后椎体高度和椎体后凸畸形矫正不佳是OVCF椎体强化术后残余腰背痛的危险因素。

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备注/Memo

备注/Memo:
通讯作者:鄢卫平 E-mail:MW95911@163.com
更新日期/Last Update: 1900-01-01