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[1]張會(huì),鄢衛(wèi)平,劉衛(wèi)義,等.骨質(zhì)疏松性椎體壓縮骨折椎體強(qiáng)化術(shù)后殘余腰背痛的影響因素分析[J].中醫(yī)正骨,2024,36(08):31-34.
 ZHANG Hui,YAN Weiping,LIU Weiyi,et al.Factors influencing residual low back pain after vertebral augmentation for treatment of osteoporotic vertebral compression fracture[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2024,36(08):31-34.
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骨質(zhì)疏松性椎體壓縮骨折椎體強(qiáng)化術(shù)后殘余腰背痛的影響因素分析()
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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08期
頁碼:
31-34
欄目:
臨床研究
出版日期:
2024-08-20

文章信息/Info

Title:
Factors influencing residual low back pain after vertebral augmentation for treatment of osteoporotic vertebral compression fracture
作者:
張會(huì)1鄢衛(wèi)平2劉衛(wèi)義1郭廣宇1李佳坤1段文帥1毛建偉1
1.甘肅中醫(yī)藥大學(xué),甘肅 蘭州 730000; 2.甘肅省中醫(yī)院,甘肅 蘭州 730050
Author(s):
ZHANG Hui1YAN Weiping2LIU Weiyi1GUO Guangyu1LI Jiakun1DUAN Wenshuai1MAO Jianwei1
1.Gansu University of Chinese Medicine,Lanzhou 730000,Gansu,China 2.Gansu Provincial Hospital of TCM,Lanzhou 730050,Gansu,China
關(guān)鍵詞:
腰痛 背痛 骨質(zhì)疏松性骨折 脊柱骨折 骨折壓縮性 椎體成形術(shù) 后凸成型術(shù)
摘要:
目的:分析骨質(zhì)疏松性椎體壓縮骨折(osteoporotic vertebral compression fracture,OVCF)椎體強(qiáng)化術(shù)后殘余腰背痛的影響因素。方法:回顧性分析采用椎體強(qiáng)化手術(shù)治療的OVCF患者的病例資料,提取性別、年齡、體質(zhì)量、是否合并糖尿病、是否合并高血壓、是否有脊柱外傷史、是否合并Kümmell病、手術(shù)方式、骨水泥注入量、骨水泥分布情況、是否合并術(shù)后椎體感染、術(shù)前和術(shù)后1年椎體高度壓縮比、術(shù)前和術(shù)后1年椎體后凸Cobb角及術(shù)后1年是否殘余腰背痛等信息。根據(jù)術(shù)后1年患者是否殘余腰背痛,將納入研究的患者分為術(shù)后殘余腰背痛組和術(shù)后無殘余腰背痛組。先對(duì)2組患者的相關(guān)信息進(jìn)行單因素分析,再采用多因素Logistic回歸分析OVCF椎體強(qiáng)化術(shù)后殘余腰背痛的影響因素。結(jié)果:共納入602例OVCF患者,其中術(shù)后殘余腰背痛組患者52例、術(shù)后無殘余腰背痛組550例。2組患者是否有脊柱外傷史、是否合并Kümmell病、骨水泥注入量、骨水泥分布情況、術(shù)后1年椎體高度壓縮比、術(shù)后1年椎體后凸Cobb角比較,組間差異均有統(tǒng)計(jì)學(xué)意義[χ2=16.062,P=0.000; χ2=6.453,P=0.011;(3.65±0.70)mL,(4.25±0.94)mL,t=-2.249,P=0.031; χ2=12.366,P=0.000;(30.93±3.97)%,(23.21±4.02)%,t=6.917,P=0.000; 12.41°±3.69°,6.82°±2.63°,t=0.065,P=0.000]。Logistic回歸分析結(jié)果顯示,合并Kümmell病、骨水泥分布不理想、術(shù)后1年椎體高度壓縮比偏大、術(shù)后1年椎體后凸Cobb角偏大是OVCF椎體強(qiáng)化術(shù)后1年仍殘余腰背痛的危險(xiǎn)因素(β=1.682,P=0.031,OR=0.153; β=0.893,P=0.047,OR=2.202; β=0.635,P=0.014,OR=0.359; β=0.721,P=0.040,OR=0.762)。結(jié)論:合并Kümmell病、骨水泥分布不理想、術(shù)后椎體高度和椎體后凸畸形矯正不佳是OVCF椎體強(qiáng)化術(shù)后殘余腰背痛的危險(xiǎn)因素。

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備注/Memo:
通訊作者:鄢衛(wèi)平 E-mail:[email protected]
更新日期/Last Update: 1900-01-01