单侧与双侧经皮后凸成形治疗骨质疏松性胸腰椎骨折
金成浩;蔡迎;钟杰林;苏啸天;靳小龙;
摘要(Abstract)：
[目的]比较单侧与双侧经皮后凸椎体成形术(PKP)治疗老年骨质疏松性胸腰椎压缩性骨折的临床效果。[方法] 2015年1月～2019年4月本院收治的老年骨质疏松性胸腰椎压缩性骨折患者78例,根据手术入路不同分为单侧组、双侧组,均39例。比较两组临床效果。[结果]单侧组手术时间、X线照射次数、骨水泥注射量均显著少于双侧组(P<0.05)。随术后时间推移,两组VAS、QUALEFFO评分均显著降低(P<0.05);且双侧组术后3 d、6个月评分低于单侧组(P<0.05)。术后3 d、6个月两组椎体后凸Cobb角、椎体压缩率均相比术前依次降低(P<0.05);而组间三个时间点比较差异均无统计学意义(P>0.05)。[结论]两种PKP入路方式治疗效果相当,单侧入路可减少手术时间、X线照射次数及骨水泥注射量,而双侧入路对术后疼痛、生活质量的改善效果优于单侧入路。
关键词(KeyWords)： 骨质疏松性胸腰椎压缩性骨折;经皮球囊扩张椎体后凸成形术;单侧入路;双侧入路
基金项目(Foundation):
作者(Author): 金成浩;蔡迎;钟杰林;苏啸天;靳小龙;
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DOI:
参考文献(References)：
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