本文選題：骨質(zhì)疏松性胸腰椎體壓縮性骨折 + 經(jīng)皮球囊擴(kuò)張后凸成形術(shù)�。� 參考：《重慶醫(yī)學(xué)》2017年17期

【摘要】：目的探討骨質(zhì)疏松性胸腰椎體壓縮性骨折患者外科治療后腰背部位疼痛的相關(guān)因素。方法回顧性分析2013年1月至2016年1月該院收治的621例骨質(zhì)疏松性胸腰椎體壓縮性骨折患者的臨床資料,所有患者均采用經(jīng)皮球囊擴(kuò)張后凸成形術(shù)(PKP)或經(jīng)皮椎體成形術(shù)(PVP)治療。Logistic回歸分析骨質(zhì)疏松性胸腰椎體壓縮性骨折患者外科治療后腰背部位疼痛的危險(xiǎn)因素。結(jié)果治療后患者的視覺(jué)模擬評(píng)分法(VAS)評(píng)分和Oswestry功能障礙指數(shù)評(píng)分較治療前均顯著降低,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。621例患者中94(15.13%)例患者治療后腰背部位疼痛。術(shù)后發(fā)生骨水泥滲漏及骨水泥滲漏的方向、體積、范圍和并發(fā)癥是骨質(zhì)疏松性胸腰椎體壓縮性骨折患者外科治療后腰背部位疼痛的危險(xiǎn)因素(P0.05)。結(jié)論 PKP和PVP治療能夠顯著緩解患者的疼痛,但術(shù)后發(fā)生骨水泥滲漏和并發(fā)癥會(huì)造成患者術(shù)后腰背部位疼痛,應(yīng)采取積極措施降低術(shù)后腰背部位疼痛的發(fā)生率。
[Abstract]:Objective to investigate the related factors of lumbar dorsal pain after surgical treatment in patients with osteoporotic thoracolumbar vertebral compression fracture. Methods the clinical data of 621 patients with osteoporotic thoracolumbar vertebral compression fracture treated in our hospital from January 2013 to January 2016 were retrospectively analyzed. All patients were treated with percutaneous balloon kyphoplasty (PKP) or percutaneous vertebroplasty (PVP). Logistic regression analysis was performed on the risk factors of pain in the posterior lumbar area of patients with osteoporotic thoracolumbar vertebral compression fracture after surgical treatment. Results after treatment, the visual analogue score (VAS) and the Oswestry dysfunction index (Oswestry) score were significantly lower than those before treatment, and the difference was statistically significant (P 0.05. 621). The direction, volume, scope and complications of bone cement leakage and bone cement leakage were the risk factors of pain in the lumbar back after surgical treatment in patients with osteoporotic thoracolumbar vertebral compression fracture. Conclusion PKP and PVP can significantly relieve the pain of the patients, but the occurrence of bone cement leakage and complications will result in postoperative pain in the back of the waist, so we should take active measures to reduce the incidence of postoperative pain in the back of the back.
【作者單位】： 青海省人民醫(yī)院骨科;
【分類號(hào)】：R580;R687.3
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本文編號(hào)：1891584