本文選題：二代Kyphon球囊　切入點：骨質(zhì)疏松　出處：《中國脊柱脊髓雜志》2017年07期

【摘要】：目的:比較應(yīng)用新型二代Kyphon球囊與一代Kyphon球囊行經(jīng)皮球囊擴張椎體后凸成形術(shù)治療骨質(zhì)疏松性椎體壓縮骨折(OVCFs)的臨床療效。方法:選取我院2015年4月~2016年4月的61例OVCFs患者共70節(jié)手術(shù)椎體進行回顧性研究,根據(jù)術(shù)中應(yīng)用球囊不同分為KyphonⅠ組與KyphonⅡ組。影像學(xué)測量患者傷椎高度及Cobb角度,計算傷椎前緣高度比值及術(shù)后傷椎高度的恢復(fù)及再塌陷程度,評價傷椎的撐開效果。采用視覺模擬評分(visual analogue scale,VAS)及Oswestry功能障礙指數(shù)評分(oswestry disability index,ODI)評價患者的疼痛程度和腰椎功能。結(jié)果:KyphonⅠ組共33例患者38節(jié)手術(shù)椎體,男性9例,女性24例,年齡66.31±7.85歲;KyphonⅡ組共28例患者32節(jié)手術(shù)椎體,男性10例,女性18例,年齡68.01±8.63歲。兩組患者的術(shù)前VAS評分、Cobb角、椎體高度、ODI評分、住院日、手術(shù)時間、平均單節(jié)椎體注入骨水泥量及出血量的比較均無統(tǒng)計學(xué)差異(P0.05),但KyphonⅡ組術(shù)中的球囊撐開壓力(374.14±165.15Psi),明顯高于KyphonⅠ組(171.45±97.81Psi)(P0.05)。兩組術(shù)后1d及術(shù)后12個月的Cobb角度、傷椎前緣高度及前緣高度比值的差異具有顯著統(tǒng)計意義(P0.05)。此外,KyphonⅡ組術(shù)后1d傷椎提升高度與Cobb改善角度明顯優(yōu)于KyphonⅠ組(P0.05);術(shù)后12個月KyphonⅠ組Cobb角的再丟失程度較明顯(P0.05)。KyphonⅠ組出現(xiàn)8節(jié)椎體(21.05%)骨水泥滲漏,KyphonⅡ組出現(xiàn)1節(jié)椎體(3.13%)。術(shù)后鄰近椎體骨折KyphonⅠ組出現(xiàn)3例(9.09%),KyphonⅡ組出現(xiàn)0例,所有并發(fā)癥均未引起明顯的臨床癥狀。結(jié)論 :對于伴有前壁或側(cè)壁破裂的嚴重椎體壓縮骨折的治療,新型二代Kyphon球囊相比于一代Kyphon球囊的椎體撐開及穩(wěn)定效果更加顯著,骨水泥滲漏及鄰近椎體再骨折發(fā)生率更低。
[Abstract]:Objective: to compare the clinical effects of percutaneous balloon kyphoplasty with a new generation of Kyphon balloon and a generation of Kyphon balloon in the treatment of osteoporotic vertebral compression fracture. Methods: from April 2015 to April 2016, the patients with osteoporotic vertebral compression fracture were enrolled in our hospital. A retrospective study of 70 vertebrae in 61 patients with OVCFs was performed. According to the intraoperative application of balloon, the patients were divided into Kyphon 鈪，

本文編號：1653823