膨胀式椎体成形术手术系统结合高粘度骨水泥治疗老年性胸腰椎骨折的临床观察
| 作者: |
1曹兴,
1杨渝勇,
1邓淼,
1曹国永
1 武警重庆市总队医院骨科，重庆 400061 |
| 通讯: |
曹国永
Email: cguoyong@163.com |
| DOI: | 10.3978/j.issn.2095-6959.2016.01.005 |
摘要
目的：研究膨胀式椎体成形术手术系统结合高粘度骨水泥治疗老年性胸腰椎骨折的疗效。方法：选择2014年5月至2015年4月在我院接受治疗的胸腰椎骨质疏松性骨折老年患者80例，按照患者入院时间的先后顺序将其分为观察组和对照组各40例，给予观察组患者均行膨胀式椎体成形术手术系统结合高粘度骨水泥进行治疗，对照组则使用球囊扩张椎体后凸成形系统结合高粘度骨水泥治疗。观察记录两组患在术后3 d、3、6个月时VAS评分的结果，以及患者术后症状疼痛缓解和住院时间的情况。记录分析两组患者在术前和术后伤椎前缘高度和Cobb角的变化，并统计两组患者在术后的满意度结果。结果：在手术后的3 d、3、6个月，观察组患者的VAS评分相比于对照组有了明显的改善，且术后患者的症状疼痛缓解和住院时间明显减少，其差异结果显著(P<0.05)。术前，两组患者的伤椎前缘高度与Cobb角无明显差异，经过手术后，观察组患者的伤椎前缘高度为(20.26±2.67) mm，Cobb角为(9.01±1.36)°，明显的优于对照组的(18.83±3.62) mm和(11.34±2.35)度，差异比较有统计学意义(P<0.05)。并且观察组在术后的满意度高达92.5%，对照组的满意度仅为70%，两组比较差异具有统计学意义(μ=4.6399，P=0.0000)。结论：膨胀式椎体成形术手术系统结合高粘度骨水泥治疗老年性胸腰椎骨折的疗效显著，能有效地缩短患者的症状缓解疼痛时间与住院时间，降低患者的疼痛感，具有明显的优势。
关键词：
膨胀式椎体成形术
高粘度骨水泥
胸腰椎骨折
老年人
Inflatable vertebral plasty surgery system combined with bone cement with high viscosity the efficacy of the treatment of thoracolumbar fractures in the elderly
CorrespondingAuthor: CAO Guoyong Email: cguoyong@163.com
DOI: 10.3978/j.issn.2095-6959.2016.01.005
Abstract
Objective: To study the efficacy of expansion vertebral plasty surgery system combined with bone cement with high viscosity in treating thoracolumbar fractures in the elderly. Methods: Eighty patients with thoracolumbar osteoporotic fractures from May 2014 to April 2015 in our hospital were researched. They were randomly divided into observation group and control group. Forty patients in observation group used expansion vertebral plasty surgery system combined with bone cement with high viscosity treatment, balloon expansion convex molding system combined with high viscosity after vertebral body bone cement were used in control group. VAS score results of the 2 groups were recorded in 3 days, 3, 6 months after surgery, as well as the condition of patients with postoperative pain relief and the time of hospitalization. The changes of preoperative and postoperative wound which would lead edge vertebral height and Cobb angle were analyzed and the results of patient’s opinion in postoperative satisfaction were counted. Results: 3 days, 3, 6 months after surgery, the VAS score in observation group had significant improvement compared with the control group, and the symptoms of patients with postoperative pain relief and hospitalization time decreased significantly, these results were statistically significant (P<0.05). Preoperative, two groups of patients with injury of vertebral leading edge height and Cobb Angle had no obvious difference. Injury vertebral leading edge height after surgery in observation group was (20.26±2.67) mm and Cobb Angle was (9.01±1.36)° which is obviously better than the control group (18.83±3.62) mm and (11.34±2.35)°, the difference was statistically significant (P<0.05). Satisfaction after surgery in observation group was obviously higher than the control group, comparasion of the differences was statistically significant (μ=4.6399, P=4.6399). Conclusion: The expansion vertebral plasty surgery system combined with high viscosity bone cement has a good effect in treating senile thoracolumbar fractures. It can effectively shorten the patient’s pain relief and hospital staying time, as well as reduce the patients pain, which is worth popularizing for clinical application.