网袋球囊椎体成形术治疗骨质疏松性脊柱骨折的早期临床疗效分析

Early clinical effectiveness of Vesselplasty in treatment of the patients with osteoporotic vertebral fracture

背景:随着社会逐渐进入老龄化,骨质疏松性压缩骨折(osteoporotic vertebral compression fractures, OVCFs)发病率越来越高。与传统经皮椎体成形术(percutaneous vertebroplasty, PVP)比较,网袋球囊椎体成形术治疗骨质疏松性骨折的报道较少,且缺乏二者之间的比较研究。目的目的:分析总结网袋球囊椎体成形术在胸腰椎骨质疏松性骨折治疗过程中的技术特点和早期临床效果,评估这种技术是否优于PVP。方法方法:回顾性分析2014年1月至2017年12月采用网袋球囊椎体成形术治疗胸腰椎骨质疏松性骨折患者16例,共17个椎体,平均年龄(74.7±7.7)岁,平均住院时间7.2 d。统计分析这种技术在椎体复高、疼痛缓解满意程度、住院时间、操作时间、并发症等方面数据,对照组为同期经PVP治疗的胸腰椎骨质疏松性骨折患者58例,62个椎体,平均年龄(75.1±1.0)岁,平均住院时间7.8 d。结果结果:采用网袋球囊椎体成形术治疗脊柱骨折患者术后3 d腰痛VAS评分显著下降,术后椎体高度恢复率26.7%,操作时间平均每个椎体61min。PVP组术后椎体高度恢复率25.3%,操作时间平均每个椎体53 min。与PVP组比较,网袋球囊椎体成形术组操作时间较长,但差异无统计学意义,其他数据没有显著差异。结论结论:网袋球囊椎体成形术作为新近出现的一种椎体成形技术,可以获得满意的早期临床疗效,但与传统PVP技术比较,各项临床疗效指标并没有取得显著优势。

Background:The incidence of osteoporotic vertebral compression fractures has been higher and higher with the aged people increasing.There were few reports of Vesselplasty technique compared with percutaneous vertebroplasty (PYP), and no such study on comparison of the two techniques.Objective:To investigate the skill points and early efficacy of Vessel- plasty technique in the treatment of patients with osteoporotic vertebral fractures,and whether it is superior to PVP.Methods: Retrospective analysis of the data in patients undergoing Vesselplasty or PVP procedure between January 2014and December 2017was conducted.All recruited patients were divided into Vesselplasty group and PVP group.The data as hospital stay, mean operation time,complications,VAS before and after procedure,restoration of vertebral body height were obtained and analyzed.Results:Fifty eight patients including 62vertebral bodies were included in PVP group with the mean age of 75.1±1.0 years and the mean hospital stay .of 7.8days.Sixteen patients including 17vertebral bodies were included in Vesselplasty group with the mean age of 74.7±7.7years and the mean hospital stay of 7.2days.The average operation time were 53minutes in PVP group and 61minutes in Vesselplasty group.The incidence of vertebral body height regained was 26.7%in Vesselplasty group and 25.3%in PVP group.The VAS score significantly decreased at 3days after operation compared with the preoperation in both groups.The operation time was longer in the vesselplasty group than in the PVP group,but there was no statistical significance (P >0.05).As for other data,there was no statistical significance between the two groups.Conclusions:Vesselplasty procedure has an early efficacy in treatment of patients with osteoporotic compression fractures as a new technique,however none of its clinical effect indexes shows any advantages as compared with PVP.