文章摘要
杨升全,金正帅,张 宁,殷国勇,徐 杰,孙 强,郑召民,吴乃庆.椎体扩张器?Kyphon球囊和Sky骨膨胀器三种后凸成形术的临床应用比较研究[J].南京医科大学学报,2011,(2):250~255
椎体扩张器?Kyphon球囊和Sky骨膨胀器三种后凸成形术的临床应用比较研究
A comparison study of clinical application between dilator-kyphoplasty,balloon-kyphoplasty and Sky-bone expander kyphoplasty
投稿时间:2010-07-06  
DOI:10.7655
中文关键词: 椎体骨折  后凸成形术  椎体扩张器  Kyphon球囊  Sky骨膨胀器
英文关键词: vertebral compression fracture  kyphoplasty  vertebral dilator  balloon dilation  Sky-bone expander
基金项目:江苏省科技厅社会发展计划项目(BS2007076)
作者单位
杨升全 南京医科大学第一附属医院骨科,江苏 南京 210029 
金正帅 南京医科大学第一附属医院骨科,江苏 南京 210029 
张 宁 南京医科大学第一附属医院骨科,江苏 南京 210029 
殷国勇 南京医科大学第一附属医院骨科,江苏 南京 210029 
徐 杰 南京医科大学附属南京第一医院骨科,江苏 南京 210006 
孙 强 南京医科大学附属南京第一医院骨科,江苏 南京 210006 
郑召民 中山大学附属第一医院脊柱外科,广东 广州 510080 
吴乃庆 南京医科大学第一附属医院骨科,江苏 南京 210029 
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中文摘要:
      目的: 比较椎体扩张器?Kyphon球囊和Sky骨膨胀器后凸成形术的临床应用结果及优缺点?方法:回顾性研究2006年10月至2010年2月,分别对71例71椎?55例55椎和22例22椎骨质疏松脊柱压缩骨折患者行椎体扩张器后凸成形术(dilator-kyphoplasty,DKP)?Kyphon球囊后凸成形术(balloon-kyphoplasty, BKP)和Sky骨膨胀器后凸成形术(Sky-bone expander kyphoplasty, EKP)?记录手术时间?术中出血量?骨水泥注射量,观察手术前后疼痛视觉模拟评分(visual analogue scale, VAS)和Oswestry功能障碍指数(oswestry disability index,ODI)评分情况,测量病椎的高度和Cobb角改变?结果:3组手术时间?出血量相比,差异无统计学意义,骨水泥注入量EKP组与其他组比较有显著差异?3组术后椎体高度和后凸Cobb角?VAS评分?ODI评分均较术前明显改善?DKP组椎体高度和后凸Cobb角恢复较其他组显著?骨水泥渗漏:DKP组2例少量渗入椎体侧方,BKP组4例,EKP组9例,均无临床症状?结论:DKP?BKP和EKP治疗疼痛性骨质疏松椎体压缩骨折均有良好的临床疗效?DKP?BKP和EKP均可有效恢复椎体高度和Cobb角,改善患者疼痛状况和生活功能,但是DKP在扩张的可操作性和安全性上,在恢复椎体高度和矫正后凸Cobb角上更显著?DKP在病椎体内平行撑开复位,骨水泥团状初期注入,其渗漏率较BKP和EKP低?
英文摘要:
      Objective: To compare the clinical results of dilator-kyphoplasty(DKP),balloon-kyphoplasty(BKP) and Sky-bone expander kyphoplasty(EKP). Methods:A retrospective study was done from October 2006 to February 2010, and 71 cases(71 vertebra) with DKP, 55 cases (55 vertebra) with BKP and 22 cases (22 vertebra) with EKP procedures were performed. The operating time, bleeding volume, cement injecting volume of cement were recorded during operation. The patients′ VAS score and ODI score were evaluated after operation. The distribution of the cement and the restoration of vertebral height and Cobb angle were observed post-operation. Results:There are no significant differences in operative time and bleeding volume of every vertebrae in these three groups. The EKP group had smaller cement injected volume than other groups. The VAS and ODI scores were decreased significantly, and the vertebral height and Cobb angle were restored in three groups after operation. The post-operative changes were significantly more pronounced in the DKP group. Conclusion:DKP, BKP and EKP were all effective and safe in the treatment of osteoporosis vertebral compression fractures. The vertebral height and Cobb angle were restored in three groups. The post-operative changes were more pronounced in the DKP group. There is lower cement leakage rate in DKP than the other two methods, because the bone cement was injected in dough state and the vertebral body was parallelly strutted.
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