钛网植入椎体成形术与PKP治疗脆性骨折疗效比较

被引：15

作者：

蔡进奎 ^{[1
]}

潘和科 ^{[2
]}

周健和 ^{[2
]}

刘志刚 ^{[1
]}

许海甲 ^{[1
]}

李瑾凉 ^{[1
]}

肖智勇 ^{[1
]}

李伟康 ^{[1
]}

机构：

[1] 武汉市第三医院骨科中心

[2] 东莞康华医院脊柱关节外科

来源：

实用医学杂志 | 2020年 / 36卷 / 09期

关键词：

椎体后凸成形; 椎体压缩骨折; 骨质疏松; 钛网植入;

D O I：

暂无

中图分类号：

R687.3 [骨骼手术];

学科分类号：

100220 [骨科学];

摘要：

目的比较经皮钛网植入椎体成形术与经皮椎体后凸成形术(percutaneous kyphoplasty,PKP)治疗胸腰椎脆性骨折疗的临床疗效。方法回顾性分析2015-2019年收治的126例胸腰椎脆性骨折患者,66例行传统PKP治疗(PKP组),60例行钛网植入椎体成形术(钛网组),分别记录两组患者术中所用手术时间、透视次数、骨水泥注入量、手术并发症、椎体高度复原及保持情况、患者腰背部疼痛缓解情况。结果与单纯PKP组相比,钛网组在骨水泥注入量、椎体高度复原情况、术后椎体高度保持情况、长期临床疗效等方面差异均有统计学意义(P <0.05),两组术中透视次数,手术时间差异无统计学意义(P>0.05)。结论与PKP组相比,钛网植入椎体成形术能够更好恢复椎体高度,并且术后能较好维持椎体高度,远期疗效优于PKP手术。

引用

页码：1228 / 1232

页数：5

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