蔡斌;王文军;宋西正;胡文凯;李丹;陈静;

• 1:南华大学附属第一医院脊柱外科

摘要(Abstract)：

[目的]探讨遥控骨水泥自动推进器在PVP治疗骨质疏松性胸腰椎椎体压缩性骨折中的作用和疗效。[方法]对66例骨质疏松性椎体压缩性骨折患者行单节段椎体成形术,根据骨水泥推注方式不同分为3组:间断手动组(A组)、持续手动组(B组)、遥控推注组(C组),每组22例。采用视觉模拟评分(visual analogue scale,VAS)评价所有患者手术前后腰背痛程度,记录手术时间、骨水泥推注期的辐射时间和医患双方的辐射剂量、骨水泥推注剂量。[结果]三组间术前及术后VAS评分差异无统计学意义(P>0.05);各组术后的VAS评分均较术前明显降低,差异具有统计学意义(P<0.001)。各组间的手术时间、辐射时间及患者的辐射剂量比较,A组明显>B、C组,差异具有统计学意义(P<0.05);B、C组差异无统计学意义(P>0.05)。骨水泥注射量A组0.05)。术者的辐射剂量比较,B组明显>A、C组(P<0.001),A、C组比较差异无统计学意义(P>0.05)。共出现12例骨水泥渗漏(发生率18.18%),其中A组6例,B组4例,C组2例,其他并发症在术中和随访过程中未发现。[结论]在新型远程遥控骨水泥自动推注系统的辅助下,行椎体成形术治疗骨质疏松性椎体压缩性骨折的疗效与传统手术相同。节省了手术时间,术者可得到最大限度的辐射防护,同时有利于防止骨水泥渗漏。

关键词(KeyWords)： 遥控骨水泥推注装置;经皮椎体成形术;骨质疏松;椎体压缩性骨折;微创手术

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 蔡斌;王文军;宋西正;胡文凯;李丹;陈静;

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参考文献(References)：

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