低黏度湿沙期骨水泥推注在OVCF患者PKP手术中的应用
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皖北煤电集团总医院

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Application?of?low-viscosity?wet?sand?stage?bone?cement?bolus?injection?in?PKP?operation?of?OVCF?patients
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Wanbei Coal and power general hospital

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    摘要:

    [摘要]目的:分析OVCF患者PKP手术中应用低黏度湿沙期骨水泥推注的优势。方法:随机在本院选择146例明确诊断为OVCF的患者,根据术中推注骨水泥的不同时相分为湿沙期组和拉丝期组,分别有80例和66例,随访时间定为30天。在两组患者基本信息无差别的前提下,对比数据包括:术前、术后的疼痛评分,透视时间,住院费用,骨水泥用量以及并发症(骨水泥渗漏、临近椎体骨折、应激性胃溃疡等)。结果:不同时相低黏度骨水泥注入椎体的量、透视时间和住院费用无明显差别,但采用湿沙期患者的骨水泥分布范围明显好于拉丝期患者,两组对比差异明显,具有统计学意义(P<0.05);术后7天、30天后,湿沙期组患者的疼痛评分明显低于拉丝期患者,差异具有统计学意义(P<0.05);湿沙期组患者的并发症发生率为16.25%,明显低于拉丝期组的28.79%,差异具有统计学意义(P<0.05)。结论:在OVCF患者PKP手术中推注低黏度湿沙期骨水泥可以获得更好的治疗效果、更低的并发症发生率、更少的疼痛,可以向临床推荐。

    Abstract:

    [Abstract]?Objective:?To?analyze?the?advantages?of?bolus?injection?of?low-viscosity?bone?cement?during?PKP?surgery?in?OVCF?patients.?Methods:?146?patients?with?a?clear?diagnosis?of?OVCF?were?randomly?selected.?They?were?divided?into?wet?sand?period?group?and?drawing?period?group.?The?follow-up?time?was?set?as?30?days.?The?comparative?data?include:?preoperative?and?postoperative?pain?scores,?fluoroscopy?time,?hospitalization?expenses,?bone?cement?consumption?and?complications?(bone?cement?leakage,?adjacent?vertebral?fractures,?stress?Gastric?ulcer,?etc.).?Results:?There?was?no?significant?difference?in?the?amount?of?low-viscosity?bone?cement?injected?into?the?vertebral?body,?fluoroscopy?time,?and?hospitalization?expenses?at?different?phases,?but?the?distribution?range?of?bone?cement?in?the?wet?sand?stage?was?significantly?better?than?that?in?the?drawing?stage.?The?comparison?between?the?two?groups?was?significant?and?statistically?significant?(P<0.05);?7?days?and?30?days?after?surgery,?the?pain?scores?of?patients?in?the?wet?sand?period?were?significantly?lower?than?those?in?the?drawing?period,?and?the?difference?was?statistically?significant?(P<0.05);?complications?in?the?wet?sand?period?group?was?significantly?lower?than?in?the?drawing?stage?group,?and?the?difference?was?statistically?significant?(P<0.05).?Conclusion:?The?bolus?injection?of?low-viscosity?wet?sand?bone?cement?during?PKP?surgery?in?OVCF?patients?can?achieve?better?therapeutic?effect,?lower?complication?rate,?and?less?pain,?which?can?be?recommended?to?the?clinic.

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  • 收稿日期:2021-01-05
  • 最后修改日期:2021-05-24
  • 录用日期:2021-06-11
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