手法复位联合经皮椎体成形术治疗骨质疏松性椎体压缩骨折的效果OA
Effect of Manual Reduction Combined with Percutaneous Vertebroplasty in the Treatment of Osteoporotic Vertebral Compression Fractures
目的:探究手法复位联合经皮椎体成形术(PVP)治疗骨质疏松性椎体压缩骨折(OVCF)的效果.方法:选取荆州市第三人民医院 2022 年 1 月—2024 年 12 月收治的 120 例OVCF患者,随机分为两组,各 60 例.对照组行PVP,观察组行手法复位联合PVP.对两组围手术期指标、疼痛、腰椎功能、并发症、椎体高度、后凸Cobb角进行比较.结果:观察组手术时间及术中透视时间短于对照组,并发症发生率低于对照组,骨水泥注入量多于对照组(P<0.05).术后 1、3、6 个月,两组VAS评分均较术前逐渐下降,且观察组低于对照组(P<0.05).术后 3、6 个月,两组ODI较术前逐渐降低,JOA较术前逐渐升高,且观察组ODI较对照组低,JOA较对照组高(P<0.05).术后 6 个月,两组椎体中线、前缘高度均较术前增加,后凸Cobb角较术前均减小,且观察组椎体中线、前缘高度高于对照组,后凸Cobb角小于对照组(P<0.05).结论:手法复位联合PVP治疗OVCF能有效缩短手术时间及术中透视时间,减轻术后疼痛,改善椎体高度,且能减少并发症发生.
Objective:To explore the effect of manual reduction combined with percutaneous vertebroplasty(PVP)in the treatment of osteoporotic vertebral compression fractures(OVCF).Method:A total of 120 patients with OVCF admitted to Jingzhou Third People's Hospital from January 2022 to December 2024 were selected and randomly divided into two groups,with 60 cases in each group.The control group was treated with PVP,and the observation group was treated with manual reduction combined with PVP.The perioperative indicators,pain,lumbar function,complications,vertebral height,and kyphotic Cobb angle of the two groups were compared.Result:The operation time and intraoperative fluoroscopy time in the observation group were shorter than those in the control group,the incidence of complications in the observation group was lower than that in the control group,and the amount of bone cement injected was more than that in the control group(P<0.05).At 1,3,and 6 months after the operation,the VAS scores of both groups gradually decreased compared to before the operation,and those in the observation group were lower than those in the control group(P<0.05).At 3 and 6 months after the operation,the Oswestry disability index(ODI)of both groups gradually decreased compared to before the operation,the Japanese orthopaedic association scores(JOA)gradually increased compared to before the operation,and the ODI of the observation group were lower than those of the control group,the JOA were higher than those of the control group(P<0.05).At 6 months after the operation,the midline and anterior height of the vertebrae in both groups increased compared to before the operation,the kyphotic Cobb angle decreased compared to before the operation,and the midline and anterior height of the vertebrae in the observation group were higher than those in the control group,the kyphotic Cobb angle was smaller than that in the control group(P<0.05).Conclusion:Manual reduction combined with PVP in the treatment of OVCF can effectively shorten the operation time and intraoperative fluoroscopy time,alleviate postoperative pain,improve the height of the vertebrae,and reduce the occurrence of complications.
李传望;王敏;熊怀风
荆州市第三人民医院关节外科 湖北 荆州 434000荆州市第三人民医院关节外科 湖北 荆州 434000荆州市第三人民医院关节外科 湖北 荆州 434000
骨质疏松性椎体压缩骨折经皮椎体成形术手法复位腰椎功能并发症
Osteoporotic vertebral compression fracturesPercutaneous vertebroplastyManual reductionLumbar functionComplications
《中国医学创新》 2026 (9)
102-106,5
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