单侧椎弓根旁入路明胶海绵填塞球囊二次扩张PKP术治疗粉碎性OVCF的临床研究

唐 国富, 宁 卫权, 徐 小平, 王 根锋, 黄 丽红
广东省第二人民医院东莞三局医院

摘要


目的：探讨单侧椎弓根旁入路明胶海绵填塞球囊二次扩张经皮椎体后凸成形术治疗胸腰椎粉碎性骨质疏松
性骨折（OVCF）的临床效果。方法：对2023年4月至2025年10月收治的符合研究标准的OVCF患者共80例，根据
CT和MR的影像学表现随机分为对照组（A组）40例及实验组（B组）40例两个组，A组给予常规PKP治疗，B组
采取单侧椎弓根旁入路明胶海绵填塞球囊二次扩张PKP术治疗，比较两组围术期资料、术前术后VAS评分、影像资
料、随访资料。结果：两组手术均顺利完成，未出现严重并发症，手术过程中血压、血氧饱和度等均正常。两组病
例随访3个月以上，两组患者术后6小时、第二天、第四天、1月、3月VAS评分均较术前显著减少（P＜0.05）。影
像资料：术后3个月与术前相比较，两组术后椎体高度均显著增加（P＜0.05），而Cobb角显著减小（P＜0.05）。A
组骨水泥渗漏为30%，而B组为7.5%；两组差异有统计学意义（P＜0.05）。结论：单侧椎弓根旁入路明胶海绵填塞
球囊二次扩张PKP治疗粉碎性OVCF能减少骨水泥渗漏率。

关键词


骨质疏松性椎体骨折；单侧椎弓根旁入路；明胶海绵；球囊二次扩张；经皮椎体后凸成形术；骨水泥渗漏

全文:

PDF


参考


[1]Yang S, Chen C, Wang H, et al. A systematic review

of unilateral versus bilateral percutaneous vertebroplasty/

percutaneous kyphoplasty for osteoporotic vertebral compression

fractures [J]. Acta Orthop Et Traumatologica Turcica, 2017,

51(4): 290-297.

[2]陈建德，林向进.单侧椎弓根旁外侧入路经皮椎

体后凸成形术治疗老年胸腰段压缩性骨折的临床观察[J].

中华急诊医学杂志，2017，26（12）：1446-1448

[3]Tang B, Xu S, Chen X, et al. The impact of

intravertebral cleft on cement leakage in percutaneous

vertebroplasty for osteoporoticvertebralcompressionfracturesac

ase-controlstudy [J]. BMC musculoskelet disord, 2021, 22(1):

805-811.

[4]LIANG D, YE L Q, JIANG X B, et al. Biomechanical

effects of cement distribution in the fractured area on osteoporotic

vertebral compression fractures: A three-dimensional finite

element analysis [J]. J Surg Res, 2015, 195(1): 246 - 256.

[5]Zhang S, Wang GJ, Wang Q, et al. A mysterious risk

factor for bone cement leakage into the spinal canal through the

Batson vein during percutaneous kyphoplasty: a case control

study[J]. BMC musculoskelet disord, 2019, 20(1): 423- 430.

[6]Lu Q, Liu C, Wang D, et al. Biomechanical

evaluation of calcium phosphate-based nanocomposite versus

polymethyl methacrylate cement for percutaneous kyphoplasty

[J]. Spine J, 2019, 19(11): 1871-1884.

[7]Hao W, Yuan H, Bolong Z, et al. Efficacy evaluation

of gelatin sponge in percutaneous vertebroplasty for lumbar

osteoporosis compression fractures [J]. Chinese J Tra, 2019,

35(1): 38-43.

[8]KOB S, CHO K J, PARK J W. Early adjacent vertebral

fractures after balloon kyphoplasty for osteoporotic vertebral

compression fractures[J]. Asian Spine J, 2019, 13(2): 210 - 215.

[9]LIANG D, YE L Q, JIANG X B, et al. Biomechanical

effects of cement distribution in the fractured area on osteoporotic

vertebral compression fractures: A three-dimensional finite

element analysis [J]. J Surg Res, 2015, 195(1): 246 - 256.

[10]MARTINCIˇ C D ˇ, BROJAN M, KOSEL F, et

al. Minimum cement volume for vertebroplasty[J]. Int Orthop,

2015, 39 (4): 727 - 733.


Refbacks

  • 当前没有refback。