[1]田庆华,王 涛,何 煜,等.经皮骨水泥椎间融合术与骨水泥椎间盘成形术治疗老年腰椎间盘突出症的疗效比较[J].介入放射学杂志,2021,30(03):264-269.
 TIAN Qinghua,WANG Tao,HE Yu,et al.Percutaneous cement interbody fusion versus percutaneous cement discoplasty for painful lumbar disc herniation in elderly patients: a comparison study[J].journal interventional radiology,2021,30(03):264-269.
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经皮骨水泥椎间融合术与骨水泥椎间盘成形术治疗老年腰椎间盘突出症的疗效比较()

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

卷:
30
期数:
2021年03
页码:
264-269
栏目:
临床研究
出版日期:
2021-03-29

文章信息/Info

Title:
Percutaneous cement interbody fusion versus percutaneous cement discoplasty for painful lumbar disc herniation in elderly patients: a comparison study
作者:
田庆华 王 涛 何 煜 宋红梅 易 飞 吴春根 程永德
Author(s):
TIAN Qinghua WANG Tao HE Yu SONG Hongmei YI Fei WU Chungen CHENG Yongde.
Department of Interventional Radiology, Sixth People’s Hospital of Shanghai Jiao Tong University, Shanghai 200233, China
关键词:
【关键词】 骨水泥 椎间融合 椎间盘成形 老年 腰椎间盘突出
文献标志码:
A
摘要:
【摘要】 目的 探讨经皮骨水泥椎间融合术(PCIF)治疗老年腰椎间盘突出症的初步临床价值,并与经皮骨水泥椎间盘成形术(PCD)作比较。方法 回顾性分析2013年1月至2019年11月37例老年腰椎间盘突出症的患者,其中29例采用PCIF治疗(A组),8例采用PCD治疗(B组)。A组包括L3~4椎间盘节段4例、L4~5椎间盘节段20例、L5~S1椎间盘节段5例;B组包括L3~4椎间盘节段1例、L4~5椎间盘节段6例、L5~S1椎间盘节段1例。通过比较患者术前及术后Macnab标准、视觉模拟评分(VAS)和Oswesty功能障碍指数(ODI)评分的变化来评价疼痛、日常运动功能状况的改善情况。结果 上述37例患者均获得手术成功。两组患者术后VAS、ODI评分变化均较术前有明显改善(P<0.05);A组患者在术后1、3、6个月和1年VAS和ODI评分均低于B组(P<0.05),邻近椎体骨折发生率低于B组(P<0.05)。结论 PCIF和PCD均为治疗老年腰椎间盘突出症微创、安全、有效的方法,但PCIF较PCD能明显降低术后邻近椎体骨折的发生率,且长期临床疗效更优。

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备注/Memo

备注/Memo:
(收稿日期:2019-12- 01)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2021-03-25