[1]王志坤,李再学,张贤森,等.PVP 与保守治疗骨质疏松椎体极重度压缩性骨折的临床疗效比较[J].介入放射学杂志,2022,31(01):57-61.
 WANG Zhikun,LI Zaixue,ZHANG Xiansen,et al.Percutaneous vertebroplasty versus conservative treatment for extremely severe osteoporosis vertebral compression fractures: comparison of clinical efficacy[J].journal interventional radiology,2022,31(01):57-61.
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PVP 与保守治疗骨质疏松椎体极重度压缩性骨折的临床疗效比较()

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

卷:
31
期数:
2022年01
页码:
57-61
栏目:
非血管介入
出版日期:
2022-01-25

文章信息/Info

Title:
Percutaneous vertebroplasty versus conservative treatment for extremely severe osteoporosis vertebral compression fractures: comparison of clinical efficacy
作者:
王志坤 李再学 张贤森 冯庆裕 谢文伟
Author(s):
WANG Zhikun LI Zaixue ZHANG Xiansen FENG Qingyu XIE Wenwei.
Department of Orthopaedics, Dongguan Municipal Songshanhu Central Hospital (Affiliated Dongguan Shilong People’s Hospital of Southern Medical University), Dongguan, Guangdong Province 523326, China
关键词:
【关键词】 经皮椎体成形术 骨质疏松性 压缩性骨折 临床疗效
文献标志码:
A
摘要:
【摘要】 目的 比较经皮椎体成形术(PVP)与保守治疗极重度骨质疏松胸腰椎压缩性骨折临床疗效。方法 回顾性分析2015年6月至2019年6月52例极重度骨质疏松胸腰椎压缩性骨折患者的随访资料,其中行PVP 25例(PVP组),保守治疗27例(保守组)。比较两组患者治疗前、治疗后6 d、1个月、3个月、6个月、1年伤椎前后缘高度、后凸角、疼痛视觉模拟(VAS)评分、Oswestry 功能障碍指数(ODI)和活动能力。结果 52例患者均获得随访。平均随访15个月,治疗前两组患者具有可比性。治疗后6 d和随访期间PVP组的椎体前缘高度、后凸角、VAS评分、ODI、活动能力均较治疗前改善(P<0.01),而且明显优于保守组(P<0.01)。PVP组5例无症状骨水泥渗漏,4例其他节段骨折,保守组7例其他节段骨折(P>0.05)。结论 PVP治疗骨质疏松椎体极重度压缩性骨折与保守治疗比较能快速有效缓解患者疼痛,改善生活功能。 

参考文献/References:

[1] Rabei R, Patel K, Ginsburg M, et al. Percutaneous vertebral augmentation for vertebral compression fractures: national trends in the medicare population(2005- 2015)[J]. Spine(Phila Pa 1976), 2019, 44: 123- 133.
[2] Kamei S, Noguchi T, Shida Y, et al. The safety and efficacy of percutaneous vertebroplasty for patients over 90 years old[J]. Jpn J Radiol, 2019, 37: 178- 185.
[3] Genant HK, Wu CY, van Kuijk C, et al. Vertebral fracture assessment using a semiquantitative technique[J]. J Bone Miner Res, 1993, 8: 1137- 1148.
[4] Huskisson EC. Measurement of pain[J]. Lancet, 1974, 2: 1127- 1131.
[5] Brodke DS, Goz V, Voss MW, et al. PROMIS PF CAT outperforms the ODI and SF- 36 physical function domain in spine patients[J]. Spine(Phila Pa 1976), 2017, 42: 921- 929.
[6] 王 林,邓忠良,晏铮剑,等. 经皮椎体成形术治疗上胸椎骨质疏松椎体压缩性骨折的疗效[J]. 中华创伤杂志, 2016, 32:131- 135.
[7] Nieuwenhuijse MJ, van Erkel AR, Dijkstra PD. Percutaneous vertebroplasty in very severe osteoporotic vertebral compression fractures: feasible and beneficial[J]. J Vasc Interv Radiol , 2011, 22: 1017- 1023.
[8] Firanescu CE, de Vries J, Lodder P, et al. Percutaneous vertebroplasty is no risk factor for new vertebral fractures and protects against further height loss(VERTOS Ⅳ)[J]. Cardiovasc Intervent Radiol, 2019, 42: 991- 1000.
[9] Zuo XH, Zhu XP, Bao HG, et al. Network meta- analysis of percutaneous vertebroplasty, percutaneous kyphoplasty, nerve block, and conservative treatment for nonsurgery options of acute/subacute and chronic osteoporotic vertebral compression fractures(OVCFs)in short- term and long- term effects[J]. Medicine(Baltimore), 2018, 97: e11544.
[10] 陈安怡,吴春根,何 煜,等. 老龄椎体压缩性骨折介入与保守治疗生活质量对照研究[J]. 介入放射学杂志, 2020, 29:1139- 1145.
[11] Papanastassiou ID, Phillips FM, Van Meirhaeghe J, et al. Comparing effects of kyphoplasty, vertebroplasty, and non- surgical management in a systematic review of randomized and non- randomized controlled studies[J]. Eur Spine J, 2012, 21: 1826- 1843.
[12] Zhang ZF, Yang JL, Jiang HC, et al. An updated comparison of high- and low- viscosity cement vertebroplasty in the treatment of osteoporotic thoracolumbar vertebral compression fractures: a retrospective cohort study[J]. Int J Surg, 2017, 43: 126- 130.
[13] 刘志强,周云龙,雷 飞,等. 不同时相骨水泥推注对经皮椎体后凸成形术治疗骨质疏松性椎体压缩性骨折疗效的影响[J]. 中国修复重建外科杂志, 2020, 34:435- 441.
[14] 刘鹤飞,田庆华,易 飞,等. 分期注射法在经皮椎体成形术中的应用[J]. 介入放射学杂志, 2018, 27:1163- 1167.
[15] Pan M, Ge J, Li Q, et al. Percutaneous vertebral augmentation in special Genant Ⅳ osteoporotic vertebral compression fractures[J]. J Orthop Translat, 2019, 20: 94- 99.
[16] 尹自龙,张啓维,王晓滨,等. 骨水泥强化椎体再压缩骨折的相关因素研究[J]. 中国骨质疏松杂志, 2019, 25:1580- 1584.
[17] Zhong BY, He SC, Zhu HD, et al. Risk prediction of new adjacent vertebral fractures after PVP for patients with vertebral compression fractures: development of a prediction model[J]. Cardiovasc Intervent Radiol, 2017, 40: 277- 284.
[18] 史丽娜,吴春根,李文彬,等. 经皮椎体成形术后新发椎体骨折是骨质疏松症的自然演进还是并发症?[J].介入放射学杂志,2011, 20:872- 876.

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备注/Memo

备注/Memo:
(收稿日期:2020- 11- 10)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2022-01-12