84年鼠女哪年财运最旺,857comvvv色九欧美激情|85PO_87国产精品欲av国产av资源

[1]吳俊彪.雙層骨填充網(wǎng)袋輔助下單側(cè)經(jīng)皮椎體成形術(shù)治療高齡Kmmell病[J].中醫(yī)正骨,2019,31(04):70-72.
點擊復(fù)制

雙層骨填充網(wǎng)袋輔助下單側(cè)經(jīng)皮椎體成形術(shù)治療高齡Kümmell病()
分享到:

《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第31卷
期數(shù):
2019年04期
頁碼:
70-72
欄目:
臨床報道
出版日期:
2019-04-30

文章信息/Info

作者:
吳俊彪
(金華市中醫(yī)醫(yī)院,浙江 金華 321017)
關(guān)鍵詞:
脊柱骨折 骨質(zhì)疏松性骨折 椎體成形術(shù)mmell病 老年人
摘要:
目的:觀察雙層骨填充網(wǎng)袋輔助下單側(cè)經(jīng)皮椎體成形術(shù)(percutaneous vertebroplasty,PVP)治療高齡Kümmell病的臨床療效及安全性。方法:2016年1月至2018年1月,采用雙層骨填充網(wǎng)袋輔助下單側(cè)PVP治療高齡Kümmell病患者48例。男20例,女28例。年齡(81.34±4.83)歲。病變節(jié)段位于T93例、T105例、T119例、T1214例、L113例、L24例。病程(6.82±1.71)個月。測量傷椎高度,并計算傷椎相對高度比。采用視覺模擬量表(visual analogue scale,VAS)評價腰背部疼痛程度,參照簡明健康狀況調(diào)查表(short form 36 health survey questionnaire,SF-36)評估患者的生活質(zhì)量(主要包括社會功能、軀體功能、情感角色、總體健康4項),采用Oswestry功能障礙指數(shù)(Oswestry disability index,ODI)評價椎體功能恢復(fù)情況。隨訪觀察并發(fā)癥發(fā)生情況。結(jié)果:所有患者均獲2個月的隨訪。傷椎高度,術(shù)前(8.90±1.60)mm,術(shù)后2個月(21.10±1.90)mm。術(shù)后2個月,患者腰背部疼痛VAS評分及ODI評分均較術(shù)前降低[(5.92±1.84)分,(2.01±0.95)分,t=13.081,P=0.000;(4.41±1.57)分,(1.85±0.69)分,t=10.342,P=0.000],傷椎相對高度比高于術(shù)前(0.36±0.11,0.85±0.12,t=20.854,P=0.000),SF-36評分中的社會功能、軀體功能、情感角色、總體健康評分均較術(shù)前增高[(66.32±5.17)分,(84.26±4.82)分,t=17.854,P=0.048;(63.21±3.55)分,(81.25±3.36)分,t=25.570,P=0.047;(64.12±4.24)分,(81.61±3.85)分,t=21.158,P=0.049;(64.33±3.12)分,(84.31±3.53)分,t=29.832,P=0.048]。所有患者均未出現(xiàn)骨水泥滲漏等并發(fā)癥。結(jié)論:雙層骨填充網(wǎng)袋輔助下單側(cè)PVP治療高齡Kümmell病,可以恢復(fù)傷椎高度、減輕腰背部疼痛、改善脊柱功能、提高患者的生活質(zhì)量,且安全性較高,值得臨床推廣應(yīng)用。

參考文獻/References:

[1] 胡勇,賴歐杰.Kümmell病的發(fā)生機制、影像學(xué)表現(xiàn)及治療[J].中醫(yī)正骨,2018,30(6):1-3. [2] 吳偉,鐘喜紅,曾文,等.體位復(fù)位聯(lián)合單側(cè)入路經(jīng)皮椎體成形術(shù)治療骨質(zhì)疏松性椎體壓縮骨折合并裂隙樣變的研究[J].重慶醫(yī)學(xué),2017,46(16):2279-2282. [3] KURMAN R J,SHIH IE M.The Dualistic Model of Ovarian Carcinogenesis:Revisited,Revised,and Expanded[J].Am J Pathol,2016,186(4):733-747. [4] 孔慶華,秦祥德,徐媛媛,等.骨填充網(wǎng)袋治療新鮮骨質(zhì)疏松性椎體壓縮性骨折[J].中國矯形外科雜志,2016,24(16):1528-1530. [5] 王林,鄧忠良,晏錚劍,等.經(jīng)皮椎體成形術(shù)治療上胸椎骨質(zhì)疏松椎體壓縮性骨折的療效[J].中華創(chuàng)傷雜志,2016,32(2):131-135. [6] VIVANTE A,HILDEBRANDT F.Exploring the genetic basis of early-onset chronic kidney disease[J].Nat Rev Nephrol,2016,12(3):133-146. [7] 付國勇,耿曉鵬,王霞,等.骨填充網(wǎng)袋與球囊椎體后凸成形修復(fù)骨質(zhì)疏松性椎體壓縮性骨折[J].中國組織工程研究,2016,20(52):7858-7864. [8] 董智勇,高玉盛,楊吉坤,等.新型骨填充網(wǎng)袋椎體成形術(shù)治療骨質(zhì)疏松性椎體骨折[J].中國矯形外科雜志,2017,25(16):1526-1529. [9] 陳偉,黃明光,殷海東,等.單側(cè)經(jīng)椎體側(cè)方后上角穿刺入路在經(jīng)皮穿刺椎體成形術(shù)中的應(yīng)用[J].中國現(xiàn)代醫(yī)學(xué)雜志,2017,27(24):91-95. [10] 張陽,武玉欣,曲波,等.SF-36量表在醫(yī)學(xué)生生命質(zhì)量評價中的應(yīng)用[J].中國衛(wèi)生統(tǒng)計,2013,30(3):468. [11] 鄭光新,趙曉鷗,劉廣林,等.Oswestry功能障礙指數(shù)評定腰痛患者的可信性[J].中國脊柱脊髓雜志,2002,12(1):13-15. [12] CUARON J,RAO S,WOLDEN S,et al.Patterns of failure in patients with head and neck carcinoma of unknown primary treated with radiation therapy[J].Head Neck,2016,38(Suppl 1):E426-431. [13] 張輝,高中玉,許財元,等.骨質(zhì)疏松性椎體壓縮骨折椎體成形:漏診、重度椎體壓縮、骨水泥滲漏及再發(fā)骨折225例分析[J].中國組織工程研究,2016,20(35):5256-5262. [14] 高中玉,張濤,姜文學(xué).椎體骨質(zhì)疏松性壓縮骨折骨水泥成形術(shù)后手術(shù)椎再骨折的認識進展[J].中華骨科雜志,2016,36(4):236-240. [15] EL-HAMAMSY I,OUZOUNIAN M,DEMERS P,et aL.State-of-the-Art Surgical Management of Acute Type A Aortic Dissection[J].Can J Cardiol,2016,32(1):100-109. [16] 姚珍松,陳康,江曉兵,等.網(wǎng)袋成形術(shù)治療骨壁破損型復(fù)雜椎體骨折的經(jīng)驗[J].中國矯形外科雜志,2016,24(16):1466-1470. [17] 熊森,毛克亞,韓振川,等.應(yīng)用彎角椎體成形裝置修復(fù)胸腰段骨質(zhì)疏松性椎體壓縮骨折[J].中國組織工程研究,2016,20(17):24456-24462. [18] KNIGHT E C,MUNDAY J S,STONE B M,et al.Carbon dioxide laser treatment of extensive pigmented viral plaque lesions in a golden retriever dog[J].Vet Dermatol,2016,27(5):442-e117. [19] 葉彬,陳令斌,陳偉,等.參照法穿刺技術(shù)在老年下胸椎及腰椎壓縮骨折PVP和PKP手術(shù)中的應(yīng)用體會[J].中國脊柱脊髓雜志,2016,26(7):665-668. [20] 李海峰,劉宇,王建兵,等.體外成形多柱狀骨水泥填充物應(yīng)用誘導(dǎo)膜技術(shù)在骨缺損中的治療效果[J].中國現(xiàn)代醫(yī)學(xué)雜志,2016,26(6):75-79.

相似文獻/References:

[1]鄧紅軍.硫酸鈣骨水泥椎體成形聯(lián)合后路短節(jié)段椎弓根螺釘 內(nèi)固定治療創(chuàng)傷性胸腰椎骨折[J].中醫(yī)正骨,2015,27(10):35.
[2]李鵬,徐世濤,譚磊.椎旁肌間隙入路傷椎單側(cè)植骨內(nèi)固定治療 單節(jié)段胸腰椎骨折[J].中醫(yī)正骨,2015,27(06):43.
[3]孫德舜,王小鶴,王曉燕,等.氣囊托板復(fù)位配合骨傷復(fù)元湯口服治療 胸腰椎單純壓縮骨折[J].中醫(yī)正骨,2015,27(05):65.
[4]郭世明,石玲玲,郭志民,等.手法復(fù)位石膏外固定和切開復(fù)位鋼板內(nèi)固定治療 骨質(zhì)疏松性橈骨遠端骨折的比較研究[J].中醫(yī)正骨,2015,27(04):15.
 GUO Shiming,SHI Lingling,GUO Zhimin,et al.A comparative study of manual reduction and plaster external fixation versus open reduction and plate internal fixation for treatment of osteoporotic distal radius fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(04):15.
[5]武祥仁,胡海濤,茅祖斌.經(jīng)椎旁肌間隙入路傷椎植骨內(nèi)固定治療 無神經(jīng)損傷的胸腰椎骨折[J].中醫(yī)正骨,2015,27(03):56.
[6]劉杰,朱小龍,石晨.手法復(fù)位聯(lián)合經(jīng)皮椎體后凸成形術(shù)治療胸腰椎壓縮性骨折[J].中醫(yī)正骨,2016,28(05):28.
[7]楊振國,王樹強,范杰,等.釘棒系統(tǒng)復(fù)位內(nèi)固定聯(lián)合經(jīng)椎弓根撬撥植骨術(shù)治療胸腰椎壓縮性骨折[J].中醫(yī)正骨,2016,28(05):31.
[8]陳思凱,邢金明.骨水泥強化椎弓根螺釘內(nèi)固定治療老年胸腰椎壓縮性骨折[J].中醫(yī)正骨,2016,28(05):35.
[9]徐無忌,劉曉嵐.體位復(fù)位結(jié)合經(jīng)皮椎體成形術(shù)與經(jīng)皮椎體后凸成形術(shù)治療骨質(zhì)疏松性椎體壓縮骨折的對比研究[J].中醫(yī)正骨,2016,28(07):20.
 XU Wuji,LIU Xiaolan.Effect of Qianggu Yin(強骨飲,QGY)on bone microstructure in the ovariectomized osteoporosis rats[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(04):20.
[10]孫彥鵬,史相欽,馬虎升,等.小開窗減壓短力臂傷椎置釘復(fù)位內(nèi)固定術(shù)治療胸腰椎爆裂性骨折[J].中醫(yī)正骨,2016,28(11):26.
[11]許兵,葉小雨,王蕭楓,等.小管徑經(jīng)皮椎體后凸成形術(shù)治療 骨質(zhì)疏松性椎體重度壓縮骨折[J].中醫(yī)正骨,2015,27(11):29.
[12]謝小利,李曉程.經(jīng)皮椎體后凸成形術(shù)治療骨質(zhì)疏松性椎體 壓縮骨折的圍手術(shù)期護理[J].中醫(yī)正骨,2015,27(05):79.
[13]李格,梅偉,劉沛霖,等.骨質(zhì)疏松性椎體壓縮骨折經(jīng)皮椎體成形術(shù)后鄰近椎體再骨折的危險因素探討[J].中醫(yī)正骨,2016,28(06):18.
 LI Ge,MEI Wei,LIU Peilin,et al.Investigation on risk factors for adjacent vertebral refractures after percutaneous vertebroplasty in patients with osteoporotic vertebral compression fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(04):18.
[14]張旭橋,王曉暉,黃光明,等.生骨膠囊在經(jīng)皮椎體強化術(shù)治療老年骨質(zhì)疏松性胸腰椎骨折中的應(yīng)用研究[J].中醫(yī)正骨,2016,28(11):21.
 ZHANG Xuqiao,WANG Xiaohui,HUANG Guangming,et al.Application of Shenggu Jiaonang(生骨膠囊)to the treatment of osteoporotic thoracolumbar vertebral fractures in the aged who received percutaneous vertebral augmentation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(04):21.
[15]張 濤.常規(guī)抗骨質(zhì)疏松療法聯(lián)合脈沖射頻術(shù)和銀質(zhì)針松解術(shù)治療骨質(zhì)疏松性椎體壓縮骨折[J].中醫(yī)正骨,2017,29(04):74.
[16]王建民,李華東,王振東.溫針灸結(jié)合補陽還五湯口服治療骨質(zhì)疏松性椎體壓縮骨折經(jīng)皮椎體后凸成形術(shù)后殘留痛[J].中醫(yī)正骨,2017,29(11):69.
[17]羅科鋒,蔡凱文,盧斌,等.礦化膠原-聚甲基丙烯酸甲酯骨水泥經(jīng)皮椎體后凸成形術(shù)治療Ⅰ、Ⅱ期Kmmell病的臨床研究[J].中醫(yī)正骨,2018,30(06):4.
 LUO Kefeng,CAI Kaiwen,LU Bin,et al.A clinical study of percutaneous kyphoplasty with mineralized collagen-polymethylmethacrylate bone cement for treatment of phaseⅠandⅡKmmell's diseases[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2018,30(04):4.
[18]王慶德,梅偉,張振輝,等.經(jīng)椎弓根打壓植骨與經(jīng)后路椎體次全切除治療Ⅲ期Kmmell病的對比研究[J].中醫(yī)正骨,2018,30(06):15.
 WANG Qingde,MEI Wei,ZHANG Zhenhui,et al.A comparative study of transpedicular impaction bone grafting versus subtotal vertebrectomy through posterior approach for treatment of phaseⅢKmmell's diseases[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2018,30(04):15.
[19]陳雯,馬俊明,莫文.骨水泥聯(lián)合Genex人工骨經(jīng)皮椎體后凸成形術(shù)治療骨質(zhì)疏松性胸腰椎壓縮性骨折[J].中醫(yī)正骨,2018,30(06):40.
[20]韓雷,全仁夫.后路短節(jié)段椎弓根螺釘內(nèi)固定聯(lián)合椎體成形術(shù)治療Ⅲ期Kmmell病[J].中醫(yī)正骨,2018,30(06):47.

備注/Memo

備注/Memo:
(收稿日期:2019-01-03 本文編輯:郭毅曼)
更新日期/Last Update: 2019-10-08