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目的对比高粘度骨水泥椎体成形术与普通粘度骨水泥椎体后凸成形术治疗骨质疏松性椎体压缩骨折(OVCF)的临床效果。方法选择27例OVCF患者,随机分为高粘度骨水泥椎体成形术组(高粘度骨水泥组14例)及普通粘度骨水泥椎体后凸成形术组(普通粘度骨水泥组13例),比较两组患者X线暴露时间、手术时间、骨水泥注射量、术后腰背部疼痛、腰背部功能、伤椎椎体高度%、伤椎后凸畸形角度及并发症发生情况。结果两组X线暴露时间及手术时间差异显著(P<0.05);骨水泥注射量无统计学差异(P>0.05)。两组术后疼痛明显缓解,视觉模拟疼痛评分(VAS)及ODI评分明显降低,伤椎椎体高度%及后凸畸形角度明显改善(P<0.05),但两组间比较无明显差异(P>0.05)。高粘度骨水泥组骨水泥渗漏率(14.3%)与普通骨水泥组(30.8%)比较无统计学差异(P>0.05)。结论采用高粘度骨水泥椎体成形术治疗OVCF,不仅可以达到与普通骨水泥椎体后凸成形术相同的临床效果,还可以一定程度上减少骨水泥渗漏,减少X线暴露时间及手术时间。
Objective To compare the clinical effects of high viscosity cementless vertebroplasty with conventional cementless kyphoplasty in the treatment of osteoporotic vertebral compression fractures (OVCF). Methods Twenty-seven patients with OVCF were randomly divided into three groups: high viscosity cementless vertebroplasty group (14 cases with high viscosity cement group) and ordinary viscosity vertebral kyphoplasty group (13 cases with common viscous cement group) X-ray exposure time, operation time, injection volume of cement, postoperative low back pain, back and back function,% of vertebral body height, angle of kyphosis deformity and complication were compared between the two groups. Results There was significant difference in X-ray exposure time and operation time between the two groups (P <0.05). There was no significant difference in the amount of bone cement injection (P> 0.05). Visual ache pain scores (VAS) and ODI scores were significantly lower in both groups. The vertebral body height% and the angle of kyphosis were significantly improved (P <0.05), but there was no significant difference between the two groups (P > 0.05). There was no significant difference in the rate of bone cement leakage between the high viscosity cement group (14.3%) and the normal bone cement group (30.8%) (P> 0.05). Conclusion The treatment of OVCF with high viscosity vertebroplasty can not only achieve the same clinical effect as common kyphoplasty, but also reduce the leakage of bone cement to a certain extent, reduce the time of X-ray exposure and the operation time .