超微针刀结合椎体后凸成形术治疗骨质疏松性胸腰椎压缩骨折的临床观察

耿成武; 张继超; 田忠固; 吕朝辉; 李多多; 王飞

doi:10.16025/j.1674-1307.2022.06.020

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超微针刀结合椎体后凸成形术治疗骨质疏松性胸腰椎压缩骨折的临床观察

临证纵横 | 更新时间：2023-02-15

- 超微针刀结合椎体后凸成形术治疗骨质疏松性胸腰椎压缩骨折的临床观察
- Clinical observation of ultra fine needle knife combined with percutaneous kyphoplasty in the treatment of osteoporotic vertebral compression fracture
- 北京中医药 2022年41卷第6期页码：654-658
- 作者机构：
  
  1.北京中医医院平谷医院骨伤二科,北京 101200
  2.北京中医医院平谷医院药剂科,北京 101200
  3.北京中医药大学东直门医院推拿科,北京 100700
- 作者简介：
  
  耿成武，男，37岁，硕士，副主任医师。研究方向：中医治疗脊柱、关节病变。
  王飞，E-mail：2370697369@qq.com
- 基金信息：
  
  北京市平谷区卫健委科研普及应用项目(pgwjw2020-02)
- DOI：10.16025/j.1674-1307.2022.06.020
  中图分类号：
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耿成武，张继超，田忠固，等.超微针刀结合椎体后凸成形术治疗骨质疏松性胸腰椎压缩骨折的临床观察［J］.北京中医药，2022，41（6）：654-658.

GENG Cheng-wu,ZHANG Ji-chao,TIAN Zhong-gu,et al.Clinical observation of ultra fine needle knife combined with percutaneous kyphoplasty in the treatment of osteoporotic vertebral compression fracture[J]. Beijing Journal of Traditional Chinese Medicine,2022,41(06):654-658.
耿成武，张继超，田忠固，等.超微针刀结合椎体后凸成形术治疗骨质疏松性胸腰椎压缩骨折的临床观察［J］.北京中医药，2022，41（6）：654-658. DOI： 10.16025/j.1674-1307.2022.06.020.

GENG Cheng-wu,ZHANG Ji-chao,TIAN Zhong-gu,et al.Clinical observation of ultra fine needle knife combined with percutaneous kyphoplasty in the treatment of osteoporotic vertebral compression fracture[J]. Beijing Journal of Traditional Chinese Medicine,2022,41(06):654-658. DOI： 10.16025/j.1674-1307.2022.06.020.

摘要

目的,2,探讨超微针刀结合椎体后凸成形术（PKP）治疗骨质疏松性胸腰椎压缩骨折（OVCF）的临床疗效。,方法,2,将2020年9月—2021年6月手术治疗的OVCF患者64例随机分为2组，3例退出研究。观察组31例，行PKP和超微针刀联合治疗；对照组30例，单纯行PKP治疗。术后4周和12周时采用视觉疼痛模拟评分（VAS）对2组疼痛程度进行评定，采用Oswestry功能障碍指数（ODI）评估患者脊柱功能，采用改良MacNab标准评价临床疗效。术后12周时通过X线评估患者术前、术后伤椎椎体前缘高度比和Cobb角。,结果,2,2组均顺利完成手术，无严重并发症。术后4周观察组VAS、ODI评分均优于对照组（,P,<,0.05），术后12周时2组VAS和ODI评分比较，差异无统计学意义（,P,>,0.05）。按改良MacNab标准，观察组和对照组疗效优良率分别为93.5%、90%，差异无统计学意义（,P,>,0.05）。末次随访时2组伤椎椎体前缘高度比和Cobb角比较，差异无统计学意义（,P,>,0.05）。,结论,2,超微针刀结合PKP治疗OVCF可缩短患者疼痛缓解及脊柱功能改善时间，临床疗效满意，能有效促进患者早期恢复。

Abstract

Objective,2,To explore the clinical effects of ultra fine needle knife combined with percutaneous kyphoplasty (PKP) for osteoporotic vertebral compression fracture (OVCF).,Methods,2,Patients with osteoporotic vertebral compression fracture treated with operation from September 2020 to June 2021 were recruited into this study. They were randomized into observed group and control group, including 31 patients in the observation group undergoing PKP and ultra fine needle knife, and 30 patients in the control group undergoing PKP only. At 4 and 12 weeks after operation, the visual analogue scale (VAS), Oswestry Disability Index (ODI) and modified MacNab criteria were used to measure the outcomes, such as pain relief, spinal function, and clinical effects. At 12 weeks, the anterior vertebral height ratio and Cobb angle were evaluated through X-ray examination before and after the operation.,Results,2,All the surgeries in both two groups were completed successfully without occurrence of complications. The VAS score and ODI showed significant improvement in observation groups at 4 weeks (,P,<,0.05), while the difference was not statistically significant at 12 weeks (,P,>,0.05). According to the modified MacNab criteria, the excellent and good rates were 93.5% and 90.0% in observation group and control group respectively, without statistical difference (,P,>,0.05). At the last follow-up, there was no statistical difference in anterior vertebral height ratio and Cobb angle between the two groups (,P,>,0.05).,Conclusion,2,The clinical efficacy of ultra fine needle knife combined with percutaneous kyphoplasty for osteoporotic vertebral compression fracture can shorten the time of pain relief and spinal function improvement of patients. The clinical effect is satisfactory as it can effectively promote the early recovery of patients is satisfactory.

关键词

骨质疏松性胸腰椎压缩骨折超微针刀椎体后凸成形术

Keywords

Osteoporotic vertebral compression fracturesultra fine needle knifepercutaneous kyphoplasty

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