单侧与双侧行经皮穿刺椎体成形术治疗骨质疏松性椎体压缩性骨折的临床疗效及价值对比
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摘要
目的对比单侧与双侧行经皮穿刺椎体成形术(PVP)治疗骨质疏松性椎体压缩性骨折(OVCFs)的临床疗效及价值。方法本次研究对象选自东莞市第八人民医院2016年2月—2018年3月收治的72例胸腰段椎体(胸12-腰2)OVCFs患者,其中35例行单侧PVP术治疗(单侧组),37例行双侧PVP治疗(双侧组)。通过回顾性分析两组患者的手术时间、术中出血量、骨水泥填充量、X线曝光次数、术后渗漏率、疼痛VAS评分,进行两种治疗方法的临床疗效及价值对比。结果单侧组的手术时间、术中出血量、骨水泥填充量、X线曝光次数均显著优于双侧组,差异有统计学意义;而比较两组的术后渗漏率、疼痛VAS评分均无显著差异,差异无统计学意义。结论单侧与双侧行PVP治疗OVCFs的临床疗效均良好,其中单侧PVP术的安全性相对较高。
Objective To compare the clinical efficacy and value of unilateral and bilateral percutaneous vertebroplasty(PVP)in the treatment of osteoporotic vertebral compression fracture(OVCFs).Methods The subjects of the study were 72 patients with OVCFs(thoracolumbar vertebra 12-lumbar 2)admitted to the hospital from February,2016 to March,2018,of which 35 were treated with unilateral PVP(unilateral group)and 37 were treated with bilateral PVP(bilateral group). By retrospective analysis of the operation time,intraoperative blood loss,bone cement volume,X-ray exposure times,postoperative leakage rate and pain VAS score of the two groups,clinical efficacy and value of the two treatment methods were compared.Results The operation time,intraoperative blood loss,bone cement filling and X-ray exposure times of the unilateral group were significantly better than those of the bilateral group,and the difference was statistically significant. There was no significant difference in postoperative leakage rate or pain VAS score between the two groups,and there was no statistically significant difference.Conclusion The clinical efficacy of both unilateral and bilateral PVP in the treatment of OVCFs is good,of which the safety of unilateral PVP is relatively high.
Objective To compare the clinical efficacy and value of unilateral and bilateral percutaneous vertebroplasty(PVP)in the treatment of osteoporotic vertebral compression fracture(OVCFs).Methods The subjects of the study were 72 patients with OVCFs(thoracolumbar vertebra 12-lumbar 2)admitted to the hospital from February,2016 to March,2018,of which 35 were treated with unilateral PVP(unilateral group)and 37 were treated with bilateral PVP(bilateral group). By retrospective analysis of the operation time,intraoperative blood loss,bone cement volume,X-ray exposure times,postoperative leakage rate and pain VAS score of the two groups,clinical efficacy and value of the two treatment methods were compared.Results The operation time,intraoperative blood loss,bone cement filling and X-ray exposure times of the unilateral group were significantly better than those of the bilateral group,and the difference was statistically significant. There was no significant difference in postoperative leakage rate or pain VAS score between the two groups,and there was no statistically significant difference.Conclusion The clinical efficacy of both unilateral and bilateral PVP in the treatment of OVCFs is good,of which the safety of unilateral PVP is relatively high.
引文
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[2]付会文.重症肺炎合并急性呼吸窘迫综合征的临床特点危险因素分析[J].临床肺科杂志,2016,21(10):1915-1917.
[3]中华医学会重症医学分会.急性肺损伤/急性呼吸窘迫综合征诊断和治疗指南(2006)[C]//中华医学会重症医学基本理论与基本技能研讨会. 2007:1-6.
[4]中华医学会呼吸病学分会.中国成人社区获得性肺炎诊断和治疗指南(2016年版)[J].中华结核和呼吸杂志,2016,39(4):241-242.
[5]张志强,马海英,冯宪军,等.重症肺炎合并重度急性呼吸窘迫综合征患者临床特点与预后影响因素分析[J].中华医院感染学杂志,2016,26(6):1297-1299.
[6] OGUMA A,KOJIMA T D,ARINOBU Y,et al. A case of legionella pneumonia complicated with acute respiratory distress syndrome treated with methylprednisolone and sivelestat sodium in combination with intravenous erythromycin and ciprofloxacin[J].Nihon Kokyuki Gakkai Zasshi,2004,42(11):956.
[7] ESTEBAN A,ANZUETO A,Frutos,et al. Characteristics and outcomes in adult patients receiving mechanical ventilation:a28-day international study[J]. JAMA,2002,287(3):345.