单球囊单、双侧扩张经皮椎体后凸成形术治疗骨质疏松性椎体压缩骨折的效果对比分析

Comparative analysis of the effect of single balloon and bilateral dilated percutaneous kyphoplasty in the treatment of osteoporotic vertebral compression fracture

目的:探讨单球囊单、双侧扩张经皮椎体后凸成形术治疗骨质疏松性椎体压缩骨折的效果。方法:收治骨质疏松性椎体压缩骨折患者50例。单侧组进行单球囊单侧扩张经皮椎体后凸成形术治疗;双侧组进行单球囊双侧扩张经皮椎体后凸成形术治疗。结果:单侧组手术时间、骨水泥注入量、X线曝光情况比双侧组少(P<0.05)。结论:单球囊单侧扩张经皮椎体后凸成形术更适合高龄无法耐受长时间手术者,可缩短手术时间,减少骨水泥注入量和X线曝光。

Objective:To investigate the effect of single balloon and bilateral dilated percutaneous kyphoplasty in the treatment of osteoporotic vertebral compression fracture.Methods:50 cases of osteoporotic vertebral compression fractures were selected.The one side group was treated with single balloon dilatation and percutaneous kyphoplasty.The bilateral group was treated with single balloon bilateral dilatation and percutaneous kyphoplasty.Results:The operation time,the dosage of bone cement and the X-ray exposure in the unilateral group were less than those of the bilateral group(P<0.05).Conclusion:Unilateral balloon dilatation and percutaneous kyphoplasty is more suitable for elderly patients who cannot tolerate long time operation,which can shorten operative time,reduce bone cement injection volume and X-ray exposure.