[1]韩宪富,邓强△,李中锋,等.垫枕复位联合单侧PKP与单纯单侧PKP治疗新鲜骨质疏松性腰胸椎压缩骨折疗效比较[J].西部中医药,2017,30(03):99-101.
　HAN Xianfu,DENG Qiang,LI Zhongfeng,et al.Effects Comparisons of Pillow Reduction Combined with Unilateral PKP and Mere Unilateral PKP in Treating Fresh Osteoporotic Thoracolumbar Vertebral Compression Fractures[J].Western Journal of Traditional Chinese Medicine,2017,30(03):99-101.
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垫枕复位联合单侧PKP与单纯单侧PKP治疗新鲜骨质疏松性腰胸椎压缩骨折疗效比较()
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
30
期数:
2017年03期
页码:
99-101
栏目:
出版日期:
2017-03-15

文章信息/Info

Title:
Effects Comparisons of Pillow Reduction Combined with Unilateral PKP and Mere Unilateral PKP in Treating Fresh Osteoporotic Thoracolumbar Vertebral Compression Fractures
文章编号:
1004-6852(2017)03-0099-03
作者:
韩宪富1，邓强2△，李中锋2，杨镇源2，彭冉东1
1 甘肃中医药大学，甘肃 兰州730000； 2 甘肃省中医院
Author(s):
HAN Xianfu1, DENG Qiang2△, LI Zhongfeng2, YANG Zhenyuan2, PENG Randong1
1 Gansu University of Traditional Chinese Medicine, Lanzhou 730000, China;2 Gansu Provincial Hospital of Traditional Chinese Medicine
关键词:
胸腰椎压缩性骨折; 垫枕复位; 单侧PKP
Keywords:
osteoporotic thoracolumbar vertebral compression fracture;  pillow reduction;  unilateral PKP
分类号:
R683
文献标志码:
B
摘要:
目的：观察垫枕复位联合单侧球囊扩张椎体后凸成形术(PKP)与单纯单侧PKP治疗骨质疏松性腰胸椎压缩性骨折的临床疗效。方法：骨质疏松性胸腰椎压缩骨折患者89例中采用垫枕复位联合单侧PKP治疗者43例（A组），单侧PKP治疗者46例（B组）。分析手术前及术后24小时患者视觉模拟疼痛评分(VAS)、伤椎椎体前缘高度、后凸cobb角的X线片测量及骨水泥弥散情况。结果：术后症状缓解、神经损伤、骨水泥渗漏并发症2组比较差异无统计学意义(P＞0.05)。2组手术前后VAS评分比较差异有统计学意义（P＜0.05）；2组术后24小时伤椎前缘高度恢复比较差异有统计学意义（P＜0.05）；2组术后后凸Cobb角比较差异有统计学意义（P＜0.05）。结论：垫枕复位联合单侧PKP与单侧PKP方法均可显著缓解椎体压缩骨折患者的疼痛，垫枕复位联合单侧PKP在矫正椎体高度、改善后凸畸形方面较单侧PKP方法好，具有更好的复位效果；骨水泥渗漏发生率2组相当。
Abstract:
Objective: To explore curative effects of pillow reduction combined with unilateral PKP and mere unilateral PKP in treating osteoporotic thoracolumbar vertebral compression fractures. Methods: Among 89 patients with osteoporotic thoracolumbar vertebral compression fractures, 43 cases adopted pillow reduction combined with unilateral PKP(A group), and 46 cases were treated with unilateral PKP (B group). VAS, anterior vertebral height, X ray measurement of kyphosis cobb angle and bone cement dispersion conditions of the patients were analyzed before and in 24 hours after the operation. Results: The difference had no statistical meanning in the comparisons of symptoms relief after the surgery, neural lesions and the complications caused by bone cement dispersion between both groups (P＞0.05). The difference showed statistical meaning in the comparison of VAS scales before and after the surgery(P＜0.05); the difference had statistical meaning in the comparison of anterior vertebral height recovery after the surgery within 24 hours after the operation(P＜0.05); the difference showed statistical meaning in the comparison of kyphosis Cobb angle after the operations between both groups(P＜0.05). Conclusion: Pillow reduction combined with unilateral PKP and mere unilateral PKP could ease the pain of the patients notably, pillow reduction combined with unilateral PKP is better than unilateral PKP in improving kyphosis cobb angle malformation, and the therapy shows better reduction effects, and both groups are equivalent in the incidences of bone cement leakage.

备注/Memo

备注/Memo:
收稿日期：2016-02-27 *基金项目：卫生部医药卫生科技发展研究中心课题（编号W2014ZT210）。 作者简介：韩宪富（1990—），男，在读硕士研究生。研究方向：脊柱相关疾病的中西医防治。 △通讯作者：邓强（1970—），男，硕士研究生导师，硕士学位，主任医师，甘肃省卫生和计划生育委员会领军人才，甘肃省骨伤科临床医学中心秘书长，甘肃省中西医结合学会骨伤科专业委员会副主任委员兼秘书长，甘肃省中医药学会整脊专业委员会副主任委员，中华中医药学会整脊分会常务委员，世界中联
更新日期/Last Update: 2017-03-15