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]王鑫鑫,張寧寧,李林軍.改良單側(cè)經(jīng)皮椎體成形術(shù)治療骨質(zhì)疏松性腰椎壓縮骨折[J].中醫(yī)正骨,2022,34(12):68-70,72.
點(diǎn)擊復(fù)制

改良單側(cè)經(jīng)皮椎體成形術(shù)治療骨質(zhì)疏松性腰椎壓縮骨折()
分享到：

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

卷:
第34卷
期數(shù):
2022年12期
頁(yè)碼:
68-70,72
欄目:
臨床報(bào)道
出版日期:
2022-12-02

文章信息/Info

作者:
王鑫鑫; 張寧寧; 李林軍
(周口市中心醫(yī)院,河南 周口 466000)
關(guān)鍵詞:
腰椎;  椎體成形術(shù);  骨質(zhì)疏松性骨折;  骨折; 壓縮性
摘要:
目的:觀察改良單側(cè)經(jīng)皮椎體成形術(shù)(percutaneous vertebroplasty,PVP)治療骨質(zhì)疏松性腰椎壓縮骨折的臨床療效及安全性。方法:2019年5月至2020年5月,采用改良單側(cè)PVP治療骨質(zhì)疏松性腰椎壓縮骨折患者35例。男10例,女25例。年齡 60～85歲,中位數(shù)69歲。骨折節(jié)段為L(zhǎng)113例、L28例、L37例、L45例、L52例。骨折至手術(shù)時(shí)間5～8 d,中位數(shù)5 d。采用疼痛視覺模擬量表(visual analogue scale,VAS)評(píng)分評(píng)價(jià)腰部疼痛程度,采用Oswestry功能障礙指數(shù)(Oswestry disability index,ODI)評(píng)價(jià)腰椎功能,術(shù)后隨訪觀察并發(fā)癥發(fā)生情況。結(jié)果:所有患者均獲隨訪,隨訪時(shí)間6～18個(gè)月,中位數(shù)10個(gè)月。腰部疼痛VAS評(píng)分,術(shù)前(7.3±1.2)分、術(shù)后3個(gè)月(2.5±1.3)分、末次隨訪時(shí)(2.3±1.5)分。ODI,術(shù)前(54.3±5.0)%、術(shù)后3個(gè)月(20.4±3.4)%、末次隨訪時(shí)(19.3±5.6)%。術(shù)后1例患者出現(xiàn)術(shù)側(cè)下肢麻木癥狀,術(shù)后1 d癥狀消失,原因可能是麻醉藥刺激神經(jīng)根; 5例患者出現(xiàn)骨水泥滲漏,其中2例滲漏至椎前靜脈叢、3例滲漏至椎間隙。結(jié)論:改良單側(cè)PVP治療骨質(zhì)疏松性腰椎壓縮骨折,可以有效減輕腰部疼痛、改善腰椎功能,且安全性較高,值得臨床推廣應(yīng)用。

參考文獻(xiàn)/References:

[1] MATTIA C,COLUZZI F,CELIDONIO L,et al.Bone pain mechanism in osteoporosis:a narrative review[J].Clin Cases Miner Bone Metab,2016,13(2):97-100.
[2] SILVERMAN S L,KUPPERMAN E S,BUKATA S V,et al.Fracture healing:a consensus report from the International Osteopomsis Foundation Fracture Working Group[J].Osteoporos Int,2016,27(7):2197-2206.
[3] ZHIYONG C,YUN T,HUI F,et al.Unilateral versus bilateral balloon kyphoplasty for osteoporotic vertebral compression fractures:a systematic review of overlapping meta-analyses[J].Pain Physician,2019,22(1):15-28.
[4] POURTAHERI S,LUO W,CUI C,et al.Vertebral augmentation is superior to nonoperative care at reducing lower back pain for symptomatic osteoporotic compression fractures:a meta-analysis[J].Clin Spine Surg,2018,31(8):339-344.
[5] 楊惠林,劉強(qiáng),唐海.骨質(zhì)疏松性椎體壓縮性骨折患者抗骨質(zhì)疏松規(guī)范治療專家共識(shí)[J].中華醫(yī)學(xué)雜志,2018,98(11):803-807.
[6] LIN J,QIAN L,JIANG C,et al.Bone cement distribution is a potential predictor to the reconstructive effects of unilateral percutaneous kyphoplasty in OVCFs:a retrospective study[J].J Orthop Surg Res,2018,13(1):140.
[7] 鄭光新,趙曉鷗,劉廣林,等.Oswestry功能障礙指數(shù)評(píng)定腰痛患者的可信性[J].中國(guó)脊柱脊髓雜志,2002,12(1):13-15.
[8] 賈川,黎俊,趙洪,等.單側(cè)經(jīng)橫突-椎弓根入路與雙側(cè)經(jīng)椎弓根入路經(jīng)皮椎體成形術(shù)治療重度骨質(zhì)疏松性椎體壓縮性骨折合并脊柱側(cè)彎的比較研究[J].中醫(yī)正骨,2018,30(12):23-29.
[9] HU K Z,CHEN S C,XU L.Comparison of percutaneous balloon dilation kyphoplasty and percutaneous vertebroplasty in treatment for thoracolumbar vertebral compression fractures[J].Eur Rev Med Pharmacol Sci,2018,22(1 Suppl):96-102.
[10] 王延濤,陳怡,潘美均,等.單側(cè)與雙側(cè)椎弓根入路注入骨水泥治療骨質(zhì)疏松性椎體壓縮骨折有效和安全性的Meta分析[J].中國(guó)組織工程研究,2019,23(10):1633-1640.
[11] YAN L,HE B,GUO H,et al.The prospective self-controlled study of unilateral transverse process-pedicle and bilateral puncture techniques in percutaneous kyphoplasty[J].Osteoporos Int,2016,27(5):1849-1855.
[12] HEO D H,CHO Y J.Segmental artery injury following percutaneous vertebroplasty using extrapedicular approach[J].J Korean Neurosurg Soc,2011,49(2):131-133.
[13] LIEBSCHNER M A,ROSENBERG W S,KEAVENY T M.Effects of bone cement volume and distribution on vertebral stiffness after vertebroplasty [J].Spine(Phila Pa 1976),2001,26(14):1547-1554.
[14] HE X,LI H,MENG Y,et al.percutaneous kyphoplasty evaluated by cement volume and distribution:an analysis of clinical data[J].Pain Physician,2016,19(7):495-506.
[15] 謝華,李繼春,何勁,等.骨水泥分布對(duì)椎體成形手術(shù)后療效影響的研究[J].中華骨科雜志,2017,37(22):1400-1406.
[16] 沈凱,張勝利,譚祖鍵,等.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中骨水泥單側(cè)與雙側(cè)彌散對(duì)療效的影響[J].中華創(chuàng)傷雜志,2018,34(6):527-533.
[17] 劉瑞禎,王望任,郝晨,等.骨水泥分布對(duì)單側(cè)穿刺經(jīng)皮椎體成形治療單節(jié)段骨質(zhì)疏松性椎體壓縮骨折后相鄰椎體骨折的影響[J].中國(guó)組織工程研究,2020,24(28):4498-4504.
[18] 陳齊勇,劉泊齡,梁珪清,等.單側(cè)穿刺PVP骨水泥縱向多平面分布特點(diǎn)及其對(duì)療效的影響[J].中國(guó)骨與關(guān)節(jié)損傷雜志,2017,32(9):960-962.
[19] IGNACIO J M F,IGNACIO K H D.Pulmonary embolism from cement augmentation of the vertebral body[J].Asian Spine J,2018,12(2):380-387.
[20] KOCHAI A,ENERCAN M,KAHRAMAN S,et al.The effect of mechanical aspiration of the vertebral body on pulmonary arterial pressure before cement injection in the vertebroplasty procedure[J/OL].J Orthop Surg(Hong Kong),2018,26(1):2309499018762608[2021-09-22].https://pubmed.ncbi.nlm.nih.gov/29534641/.
[21] 楊小彬,郝定均,賀園,等.單雙側(cè)經(jīng)皮椎體后凸成形術(shù)治療胸腰段骨質(zhì)疏松性椎體壓縮骨折的療效比較[J].中華創(chuàng)傷雜志,2019,35(12):1060-1067.
[22] 陳建德,樊曉琦,凌義龍.單側(cè)椎弓根旁外側(cè)入路與雙側(cè)椎弓根入路經(jīng)皮椎體后凸成形術(shù)治療骨質(zhì)疏松性胸椎壓縮性骨折的對(duì)比研究[J].中醫(yī)正骨,2018,30(10):19-24.
(收稿日期:2021-09-23 本文編輯:郭毅曼)

相似文獻(xiàn)/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]謝煒星,萬超,晉大祥,等.經(jīng)皮椎體強(qiáng)化術(shù)治療脊柱溶骨性腫瘤[J].中醫(yī)正骨,2015,27(09):50.
[3]劉彥璐,林耐球,李紹旦,等.正骨手法結(jié)合中藥外敷治療腰椎間盤突出癥[J].中醫(yī)正骨,2015,27(02):26.
[4]邵禮暉,潘浩.Coflex棘突間動(dòng)態(tài)穩(wěn)定系統(tǒng)治療腰椎退變性疾病40例[J].中醫(yī)正骨,2015,27(02):37.
[5]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(hù)理[J].中醫(yī)正骨,2015,27(05):79.
[6]郭新軍,朱卉敏,王衡,等.一次性纖維環(huán)縫合器在腰椎間盤突出癥髓核摘除術(shù)中的應(yīng)用[J].中醫(yī)正骨,2015,27(03):59.
[7]林斌,黎秋生,何勇,等.椎弓根螺釘單側(cè)固定與雙側(cè)固定治療腰椎間盤突出癥 對(duì)鄰近節(jié)段退變的影響[J].中醫(yī)正骨,2015,27(01):16.
　LIN Bin,LI Qiusheng,HE Yong,et al.Effect of unilateral versus bilateral fixation with pedicle screws on adjacent segment degeneration in patients with lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(12):16.
[8]王世龍.腰椎椎管內(nèi)外痛風(fēng)石1例[J].中醫(yī)正骨,2012,24(02):69.
[9]秦杰,李振宇.三法十式手法配合中藥腰痹湯治療腰椎間盤突出癥[J].中醫(yī)正骨,2011,23(02):71.
[10]顏 峰.椎間融合術(shù)配合中藥外敷治療退行性腰椎滑脫癥[J].中醫(yī)正骨,2016,28(01):38.

備注/Memo

備注/Memo:
通訊作者:王鑫鑫 E-mail:[email protected]
更新日期/Last Update: 1900-01-01