[1]郭旭,赵卫芹,何建昌,等.3种骨水泥成形术治疗Kümmell病的疗效观察 [J].介入放射学杂志,2020,29(03):309-314.
　GUO Xu,ZHAO Weiqin,HE Jianchang,et al.Comparison of the curative effect of three methods of cementoplasty in treating Kümmell’s disease[J].journal interventional radiology,2020,29(03):309-314.
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3种骨水泥成形术治疗Kümmell病的疗效观察

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
29
期数:
2020年03
页码:
309-314
栏目:
临床研究
出版日期:
2020-04-20

文章信息/Info

Title:
Comparison of the curative effect of three methods of cementoplasty in treating Kümmell’s disease
作者:
郭旭; 赵卫芹; 何建昌; 王贵江; 刘彬彬; 申沧海; 孙立山; 王丽国; 彭宁宁
Author(s):
GUO Xu;  ZHAO Weiqin;  HE Jianchang;  WANG Guijiang;  LIU Binbin;  SHEN Canghai;  SUN Lishan;  WANG Liguo;  PENG Ningning.
Division IV, Department of Orthopedics, Cangzhou Municipal Central Hospital, Cangzhou, Hebei Province 061001, China
关键词:
【关键词】　Kümmell 病; 经皮椎体成形术; 经皮后凸成形术; 骨填充网袋
文献标志码:
A
摘要:
【摘要】　目的?观察对比经皮椎体成形术（PVP），经皮后凸成形术（PKP）和骨填充网袋成形术治疗Kümmell 病的临床疗效。方法?收集2014年1月至2017年12月诊治并接受3种骨水泥成形术治疗的患者74例。根据治疗方式分为3组，其中PVP组38例，PKP组30例，骨填充网袋组6例。记录患者一般资料，对比不同组患者的手术时间，骨水泥注入量，术后骨水泥渗漏情况，术后手术椎体高度恢复和后凸Cobb角改善情况，统计分析术前1 d，术后1 d、术后3个月视觉模拟评分（VAS）及Oswestry功能障碍指数（ODI）变化。结果?患者随访时间3～18个月，平均（9.5±1.3）个月，所有患者无严重并发症发生，未见脊髓神经损伤、肺栓塞及针道感染等。手术时间：PVP组（26.3±10.1） min，PKP组（46.1±15.6） min，骨填充网袋组（60.9±18.3） min;骨水泥注入量：PVP组（1.5±0.8） mL，PKP组（2.5±0.9） mL，骨填充网袋组（2.6±0.8） mL; 骨水泥渗漏率：PVP组17/38 （44.7%），PKP组7/30 （23.3%）；骨填充网袋组1/6；PKP组及骨填充网袋组的椎体高度恢复、后凸Cobb角较PVP改善组，差异有统计学意义（P＜0.05），PKP组与骨填充网袋组差异无统计学意义（P＞0.05）。3组患者手术前后VAS评分及ODI评分比较，差异均有统计学意义（P＜0.05）。结论?3种骨水泥成形术治疗Kümmell 病骨折是安全可靠的，并能获得良好的止痛效果，改善患者运动功能状态，但PKP和骨填充网袋较PVP在恢复椎体高度、矫正Cobb角等方面更具优势，骨水泥渗漏率更低。

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备注/Memo

备注/Memo:
（收稿日期：2019-03-04）
（本文编辑：俞瑞纲）
更新日期/Last Update: 2020-04-16