摘要:
目的 观察高黏度骨水泥椎体成形术治疗老年女性骨质疏松性椎体压缩性骨折(OVCFs)的效果。 方法 选择130例老年女性OVCFs患者作为研究对象,按随机数字表法分为2组,每组65例。2组患者均接受骨水泥椎体成形术治疗,低黏度组采用低黏度骨水泥,高黏度组采用高黏度骨水泥。观察并比较2组患者术后骨水泥渗漏情况、手术前后伤椎高度以及相关指标。 结果 高黏度组术后骨水泥渗漏率为13.85%, 显著低于低黏度组的29.23%(P<0.05); 高黏度组术后伤椎高度显著高于低黏度组(P<0.05); 术后, 2组视觉模拟评分法(VAS)评分均显著低于术前(P<0.05), 但2组VAS评分差异无统计学意义(P>0.05); 术后,高黏度组Cobb角、前后缘高度比、中部高度比、后缘高度比均显著优于低黏度组(P<0.05); 术后3个月随访,高黏度组日本骨科协会评估治疗分数(JOA评分)显著高于低黏度组(P<0.05)。 结论 高黏度骨水泥椎体成形术治疗老年女性OVCFs具有显著疗效,可降低骨水泥渗漏率,术后伤椎高度、功能恢复效果优于低黏度骨水泥椎体成形术。
Abstract:
Objective To observe the effect of high viscosity cement vertebroplasty in the treatment of osteoporotic vertebral compression fractures(OVCFs)in elderly women. Methods A total of 130 elderly female patients with OVCFs were selected and divided into two groups according to random number table method, with 65 patients per group. Both groups underwent bone cement vertebroplasty. The low viscosity group was given low viscosity bone cement vertebroplasty, and the high viscosity group was given high viscosity bone cement vertebroplasty. The postoperative leakage of bone cement, the height of injured vertebrae before and after the operation, and related indicators were observed in both groups. Results The postoperative bone cement leakage of the high viscosity group was 13.85%, which was significantly lower than 29.23% in the low viscosity group(P<0.05); the height of the injured vertebrae in the high viscosity group was significantly higher than that of the low viscosity group(P<0.05); the postoperative Visual Analogue Scale(VAS)scores in the two groups were lower than operation before(P<0.05), but no significant difference was found in two groups(P>0.05); the Cobb angle, front edge height to back edge height ratio, middle height ratio, and back edge height ratio after operation in the high viscosity group were significantly better than those in the low viscosity group(P<0.05). After 3 months of follow-up, the Japanese Orthopedic Association(JOA)score of the high viscosity group was significantly higher than that of the low viscosity group(P<0.05). Conclusion High viscosity bone cement vertebroplasty has significant efficacy for elderly female patients with OVCFs, which can reduce the incidence of bone cement penetration, and postoperative height of the injured vertebrae as well as effect of function recovery are better than that of low viscosity bone cement vertebroplasty.
百度学术
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