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[1]齊宏哲,郭濤,高淦.手法復(fù)位聯(lián)合經(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療效和安全性Meta分析[J].中醫(yī)正骨,2024,36(03):36-41.
　QI Hongzhe,GUO Tao,GAO Gan.Clinical outcome and safety of manipulative reduction combined with percutaneous kyphoplasty for treatment of osteoporotic vertebral compression fracture:a meta-analysis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2024,36(03):36-41.
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手法復(fù)位聯(lián)合經(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療效和安全性Meta分析()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第36卷
期數(shù):
2024年03期
頁(yè)碼:
36-41
欄目:
文獻(xiàn)研究
出版日期:
2024-03-20

文章信息/Info

Title:
Clinical outcome and safety of manipulative reduction combined with percutaneous kyphoplasty for treatment of osteoporotic vertebral compression fracture:a meta-analysis
作者:
齊宏哲1; 郭濤2; 高淦2
1.貴州中醫(yī)藥大學(xué),貴州 貴陽(yáng) 550002; 2.貴州省人民醫(yī)院,貴州 貴陽(yáng) 550002
Author(s):
QI Hongzhe1; GUO Tao2; GAO Gan2
1.Guizhou University of Traditional Chinese Medicine,Guiyang 550002,Guizhou,China 2.Guizhou Provincial People's Hospital,Guiyang 550002,Guizhou,China
關(guān)鍵詞:
脊柱骨折;  骨質(zhì)疏松性骨折;  骨折; 壓縮性;  后凸成形術(shù);  正骨手法;  專題Meta分析
Keywords:
spinal fractures;  osteoporotic fractures;  fractures; compression;  kyphoplasty;  bone setting manipulation;  Meta-analysis as topic
摘要:
目的:系統(tǒng)評(píng)價(jià)手法復(fù)位聯(lián)合經(jīng)皮椎體后凸成形術(shù)(percutaneous kyphoplasty,PKP)治療骨質(zhì)疏松性椎體壓縮骨折(osteoporotic vertebral compression fracture,OVCF)的療效與安全性。方法:應(yīng)用計(jì)算機(jī)檢索中國(guó)知網(wǎng)、維普網(wǎng)、萬方數(shù)據(jù)庫(kù)、PubMed及Cochrane Library中關(guān)于手法復(fù)位聯(lián)合PKP治療OVCF的臨床對(duì)照試驗(yàn)研究文獻(xiàn)(觀察組干預(yù)措施為手法復(fù)位聯(lián)合PKP,對(duì)照組干預(yù)措施為單純PKP)。檢索時(shí)限均為建庫(kù)至2023年10月1日。根據(jù)文獻(xiàn)納入和排除標(biāo)準(zhǔn)對(duì)檢索到的文獻(xiàn)進(jìn)行篩選后,對(duì)納入文獻(xiàn)進(jìn)行質(zhì)量評(píng)價(jià),提取文獻(xiàn)中的數(shù)據(jù)進(jìn)行Meta分析。結(jié)果:共檢索出文獻(xiàn)233篇,經(jīng)篩選后最終納入文獻(xiàn)9篇,均為中文文獻(xiàn)。Meta分析結(jié)果顯示,觀察組疼痛視覺模擬量表評(píng)分低于對(duì)照組[MD=-0.67,95%CI(-1.15,-0.20),P=0.006],傷椎后凸Cobb角改善和椎體前緣高度的恢復(fù)均優(yōu)于對(duì)照組[MD=-1.54,95%CI(-2.67,-0.41),P=0.007; MD=2.81,95%CI(2.02,3.59),P=0.000],但2組在Oswestry功能障礙指數(shù)和骨水泥滲漏率方面的差異均無統(tǒng)計(jì)學(xué)意義[MD=-3.99,95%CI(-11.24,3.26),P=0.280; OR=0.48,95%CI(0.21,1.11),P=0.080]。結(jié)論:手法復(fù)位聯(lián)合PKP治療OVCF可有效緩解患者疼痛、改善傷椎后凸畸形、恢復(fù)傷椎前緣高度,療效優(yōu)于單純采用PKP治療,但二者在患者日常活動(dòng)能力改善及安全性方面相當(dāng)。
Abstract:
Objective:To systematically review the clinical outcome and safety of manipulative reduction combined with percutaneous kyphoplasty(PKP)for treatment of osteoporotic vertebral compression fracture(OVCF).Methods:All the clinical controlled trial articles about manipulative reduction combined with PKP for treatment of OVCF included from database's inception to October 1,2023 were retrieved from the China National Knowledge Infrastructure,Vip Database,Wanfang Database,PubMed and Cochrane Library through computer.The patients in observation group were treated with manipulative reduction and PKP,while the ones in control group with PKP alone.The articles were screened according to the inclusion and exclusion criteria.The methodological quality of researches in the included articles was evaluated,and then a Meta-analysis was conducted.Results:Two hundred and thirty-three articles were searched out.After screening,9 Chinese articles were included in the final analysis.The results of Meta-analysis revealed that the pain visual analogue scale(VAS)score was lower,the improvement of kyphotic Cobb angle of injured vertebrae and restoration of anterior border height of vertebral body were better in observation group compared to control group(MD=-0.67,95%CI(-1.15,-0.20),P=0.006; MD=-1.54,95%CI(-2.67,-0.41),P=0.007; MD=2.81,95%CI(2.02,3.59),P=0.000); while,the comparison of Oswestry disability index(ODI)and bone cement leakage incidence rate between the 2 groups revealed no significant differences(MD=-3.99,95%CI(-11.24,3.26),P=0.280; OR=0.48,95%CI(0.21,1.11),P=0.080).Conclusion:Manipulative reduction combined with PKP can effectively relieve pain,improve the kyphosis of injured vertebrae,and restore the anterior border height of injured vertebrae in treatment of OVCF,and its curative outcome is better than that of PKP alone; while,both are similar to each other in the improvement of activities of daily living and safety.

參考文獻(xiàn)/References:

[1] 中華醫(yī)學(xué)會(huì)骨質(zhì)疏松和骨礦鹽疾病分會(huì).中國(guó)骨質(zhì)疏松癥流行病學(xué)調(diào)查及“健康骨骼”專項(xiàng)行動(dòng)結(jié)果發(fā)布[J].中華骨質(zhì)疏松和骨礦鹽疾病雜志,2019,12(4):317-318.
[2] 董智瑞,趙明東.椎體強(qiáng)化術(shù)治療骨質(zhì)疏松性椎體壓縮性骨折的發(fā)展與術(shù)式的選擇[J].老年醫(yī)學(xué)與保健,2021,27(5):1097-1100.
[3] 王林飛,董勝利,李洪珂,等.經(jīng)皮彎角椎體成形術(shù)治療骨質(zhì)疏松性椎體壓縮骨折[J].臨床骨科雜志,2023,26(6):765-769.
[4] 黃志輝,吳釩,李志鋼.骨質(zhì)疏松性椎體壓縮骨折椎體成形術(shù)后椎體再塌陷的研究進(jìn)展[J].中醫(yī)正骨,2023,35(5):37-40.
[5] 羅金金,丁彩田.骨質(zhì)疏松性椎體壓縮骨折經(jīng)皮椎體后凸成形術(shù)后脊柱后凸畸形改善程度的影響因素分析[J].中醫(yī)正骨,2022,34(8):8-11.
[6] 張黎文,王凌斌,任忠明,等.胸腰椎骨質(zhì)疏松性骨折三點(diǎn)復(fù)位椎體后凸成形術(shù)[J].中國(guó)矯形外科雜志,2022,30(21):1930-1934.
[7] 林鵬,金濤,史科學(xué),等.經(jīng)皮椎體后凸成形術(shù)聯(lián)合補(bǔ)腎活血湯口服治療老年骨質(zhì)疏松性椎體壓縮骨折腎虛血瘀證[J].中醫(yī)正骨,2019,31(11):72-74.
[8] 李鵬.經(jīng)皮球囊擴(kuò)張椎體后凸成形術(shù)與經(jīng)皮椎體成形術(shù)治療骨質(zhì)疏松性椎體骨折的中長(zhǎng)期療效比較[J].中國(guó)現(xiàn)代藥物應(yīng)用,2023,17(12):61-63.
[9] 中華中醫(yī)藥學(xué)會(huì).骨質(zhì)疏松性骨折中醫(yī)診療指南[J].中醫(yī)正骨,2023,35(1):1-9.
[10] 李洪珂,郝申申,董勝利,等.手法復(fù)位聯(lián)合經(jīng)皮椎體成形術(shù)治療骨質(zhì)疏松性椎體壓縮骨折的臨床研究[J].中醫(yī)正骨,2020,32(8):6-11.
[11] 李永革.過伸復(fù)位聯(lián)合經(jīng)皮椎體后凸成形術(shù)治療椎體后壁破裂的骨質(zhì)疏松性椎體壓縮骨折[J].中醫(yī)正骨,2019,31(7):21-26.
[12] 劉鵬川,鄒蕾,趙學(xué)平.手法復(fù)位配合經(jīng)皮椎體成形術(shù)對(duì)椎體壓縮性骨折的臨床療效分析[J].中國(guó)社區(qū)醫(yī)師,2022,38(25):7-9.
[13] 趙龍龍,廖江龍,王濤,等.手法復(fù)位聯(lián)合PKP治療骨質(zhì)疏松胸腰椎壓縮骨折的臨床研究[J].云南中醫(yī)中藥雜志,2018,39(12):32-34.
[14] 吳超,王宏偉,田松瑤,等.手法復(fù)位PKP治療骨質(zhì)疏松性胸腰椎壓縮骨折的臨床研究[J].中國(guó)骨與關(guān)節(jié)損傷雜志,2018,33(7):724-726.
[15] 于海洋,徐克武,強(qiáng)勝林.手法復(fù)位聯(lián)合經(jīng)皮椎體后凸成形術(shù)治療骨質(zhì)疏松性椎體壓縮骨折26例臨床觀察[J].甘肅中醫(yī)藥大學(xué)學(xué)報(bào),2016,33(5):40-43.
[16] 趙毅,柳根哲,彭亞,等.單純PKP與PKP結(jié)合過伸復(fù)位法治療新鮮骨質(zhì)疏松椎體壓縮性骨折的對(duì)比研究[J].世界中西醫(yī)結(jié)合雜志,2016,11(8):1156-1158.
[17] 安福,馬富海,樊成虎,等.手法整復(fù)結(jié)合經(jīng)皮椎體后凸成形術(shù)治療骨質(zhì)疏松性椎體壓縮性骨折73例[J].西部中醫(yī)藥,2016,29(6):122-124.
[18] 馮獻(xiàn)禮,趙景才,高彤.手法復(fù)位聯(lián)合PKP治療老年骨質(zhì)疏松性椎體骨折效果分析[J].山東醫(yī)藥,2016,56(14):93-94.
[19] 秦虎,何斌,王云華,等.手法復(fù)位結(jié)合經(jīng)皮椎體后凸成形術(shù)治療老年新鮮骨質(zhì)疏松性椎體壓縮性骨折的研究[J].醫(yī)學(xué)研究生學(xué)報(bào),2015,28(4):385-389.
[20] 楊寶軍,馬虎升,杜鈞,等.手法復(fù)位在骨質(zhì)疏松性椎體壓縮骨折經(jīng)皮椎體后凸成形術(shù)中的應(yīng)用[J].中國(guó)矯形外科雜志,2013,21(6):555-558.
[21] SHARIF S,AFSAR A.Learning curve and minimally invasive spine surgery[J].World Neurosurg,2018,119:472-478.
[22] SAXENA B P,SHAH B V,JOSHI S P.Outcome of percutaneous balloon kyphoplasty in vertebral compression frac-tures[J].Indian J Orthop,2015,49(4):458-464.
[23] QI Y,ZENG Y,JIANG C,et al.Comparison of percutaneous kyphoplasty versus modified percutaneous kyphoplasty for treatment of osteoporotic vertebral compression fractures[J].World Neurosurg,2019,122:e1020-e1027.
[24] 吳紫燁,趙明宇,張向東,等.腰腹聯(lián)合療法治療退行性腰椎滑脫癥探析[J].中醫(yī)正骨,2022,34(8):67-68.
[25] 郭俊剛,許曉彤,蔣鵬飛,等.“筋骨并重”理論在脊柱微創(chuàng)手術(shù)中的應(yīng)用思考[J].亞太傳統(tǒng)醫(yī)藥,2023,19(2):215-218.

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　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(03):18.
[14]張旭橋,王曉暉,黃光明,等.生骨膠囊在經(jīng)皮椎體強(qiáng)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.
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[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?biāo)山庑g(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(bǔ)陽(yáng)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(03):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(duì)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(03):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.

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