本文選題：骨質(zhì)疏松性骨折　切入點(diǎn)：骨折　出處：《中國(guó)組織工程研究》2017年14期 　論文類(lèi)型：期刊論文

【摘要】：背景:骨水泥灌注治療骨質(zhì)疏松性椎體壓縮骨折后,隨著骨質(zhì)疏松的進(jìn)行和骨水泥與骨組織間隙的增大,骨水泥-骨界面的抗壓縮和抗扭轉(zhuǎn)能力下降,骨水泥塊在椎體內(nèi)的微運(yùn)動(dòng)幅度增加,易導(dǎo)致傷椎再骨折發(fā)生。目的:探討3種方式灌注骨水泥治療骨質(zhì)疏松性椎體壓縮骨折的臨床療效。方法:以單椎體骨質(zhì)疏松性壓縮骨折患者為研究對(duì)象,進(jìn)行椎體成形術(shù)、椎體后凸成形術(shù)及椎體成形術(shù)分次灌注骨水泥治療各60例,整理相關(guān)數(shù)據(jù),分析椎體內(nèi)骨水泥塊的類(lèi)別與治療方式的關(guān)系,了解患者長(zhǎng)期疼痛緩解及日�；顒�(dòng)功能改善、椎體高度及骨水泥塊形態(tài)位置改變、傷椎再骨折發(fā)生等情況。結(jié)果與結(jié)論:(1)3組治療后的目測(cè)類(lèi)比評(píng)分、Oswestry功能障礙指數(shù)和Cobb's角均較治療前改善(P0.05);治療后6個(gè)月與末次隨訪相比差異無(wú)顯著性意義,各時(shí)間點(diǎn)組間相比差異無(wú)顯著性意義,說(shuō)明3種方法緩解疼痛和恢復(fù)行動(dòng)的效果無(wú)差異,均能夠防止椎體高度丟失,維護(hù)脊柱的力學(xué)性能;(2)骨水泥形態(tài)位置發(fā)生改變及傷椎再骨折均出現(xiàn)在團(tuán)塊型骨水泥病例中,為增加長(zhǎng)期療效,在灌注骨水泥時(shí)應(yīng)盡可能在椎體內(nèi)形成混合型或骨小梁型骨水泥。
[Abstract]:Background: with the development of osteoporosis and the increase of the gap between bone cement and bone tissue, the anti-compression and anti-torsion ability of bone cement-bone interface is decreased after the treatment of osteoporotic vertebral compression fracture with bone cement infusion. The micromotion of bone cement in the vertebral body increased, Objective: to investigate the clinical effect of three kinds of cement infusion in the treatment of osteoporotic vertebral compression fracture. Methods: vertebroplasty was performed in patients with osteoporotic compression fracture of single vertebral body. 60 cases of vertebral kyphoplasty and 60 cases of vertebroplasty were treated with bone cement respectively. The data were collected, and the relationship between the types of bone cement and the treatment methods was analyzed to understand the long-term pain relief and the improvement of daily activity function of the patients. Changes in the height of the vertebral body and the shape and location of the bone cement block, Results and conclusion Oswestry dysfunction index and Cobb's angle in the three groups after treatment were better than those before treatment, and there was no significant difference between the 6 months after treatment and the last follow-up. There was no significant difference between the three groups at different time points, which showed that there was no difference in the effect of the three methods in relieving pain and restoring action, and all of them could prevent the loss of vertebral height. Maintenance of the mechanical properties of the spine. (2) changes in the morphology and location of bone cement and refracture of injured vertebrae were found in mass cement cases, in order to increase long-term curative effect. Mixed or trabecular cement should be formed in the vertebral body as much as possible.
【作者單位】： 莒縣人民醫(yī)院介入科;鄆城縣人民醫(yī)院放射科;解放軍濟(jì)南軍區(qū)總醫(yī)院醫(yī)學(xué)影像科;
【基金】：國(guó)家高技術(shù)研究發(fā)展計(jì)劃(863計(jì)劃)資助(2013AA032203)~~
【分類(lèi)號(hào)】：R687.3

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