Objective:To evaluate the clinical efficacy of the preoperative digita1 design combined with three dimensional(3D)printing models to assist percutaneous kyphoplasty(PKP)treatment for thoracolumbar compression frac tur...Objective:To evaluate the clinical efficacy of the preoperative digita1 design combined with three dimensional(3D)printing models to assist percutaneous kyphoplasty(PKP)treatment for thoracolumbar compression frac tures.Methods:From January 2018 to August 2020,we obtained data of 99 patients diagnosed thoracolumbar compression fractures.These patients were divided into control group(n=50)underwent traditional PKP surgery,and observation group(n=49)underwent preoperative digital design combined with 3D printing model assisted PKP treatment.The clinical efficacy was evaluated with five parameters,including operation time,number of intraoperative radiographs,visual analogue scale(VAS)score,Cobb Angle change,and high compression rate of injured vertebrae.Results:There were statistically significant differences of operation time and number of intraoperative radio graphs between the two groups(P<0.05).For VAS score,Cobb Angle change and vertebral height compression rate,all of these three parameters were significantly improved when the patients accepted surgery teatment in two groups(P<0.05).However,there were no significant differences between control group and observation group for these three parameters either before or after surgery(P>0.05).Conclusions:Through the design of preoperative surgical guide plate and the application of 3D printing model to guide the operation,the precise design of preoperative surgical puncture site and puncture Angle of the injured vertebra was realized,the number of intraoperative radiographs was reduced,the operation time was shortened and the operation efficiency was improved.展开更多
目的探讨靶向穿刺技术在经皮椎体成形术(PVP)治疗骨质疏松性胸腰椎压缩骨折中的作用,分析其对手术效果及伤椎内骨水泥分布的影响。方法回顾性分析2020年1月—2022年3月北京市顺义区医院骨一科应用PVP治疗骨质疏松性胸腰椎压缩骨折患者11...目的探讨靶向穿刺技术在经皮椎体成形术(PVP)治疗骨质疏松性胸腰椎压缩骨折中的作用,分析其对手术效果及伤椎内骨水泥分布的影响。方法回顾性分析2020年1月—2022年3月北京市顺义区医院骨一科应用PVP治疗骨质疏松性胸腰椎压缩骨折患者113例,男性39例,女性74例;年龄63~75岁,平均68.1岁;高处坠落伤11例,道路交通伤39例,摔伤63例。根据穿刺路径不同分为靶向穿刺组(58例)与常规穿刺组(55例)。比较两组患者手术时间、骨水泥用量、骨水泥渗漏、伤椎内骨水泥分布、术前及术后1 d、3个月VAS及伤椎后凸角(Cobb角)。结果两组术后1 d VAS较术前均有降低[(2.6±0.3)分vs.(8.9±0.5)分、(2.8±0.4)分vs.(8.7±0.6)分,P<0.05],但组间比较差异无统计学意义(P>0.05);术后3个月靶向穿刺组VAS低于常规穿刺组[(0.9±0.2)分vs.(2.4±0.3)分,P<0.05]。两组患者手术时间、骨水泥用量、骨水泥渗漏方面比较差异无统计学意义(P>0.05),但在伤椎骨水泥分布方面靶向穿刺组优于常规穿刺组,差异有统计学意义(P<0.05)。术前及术后1 d伤椎后凸角比较差异无统计学意义(P>0.05),但术后3个月靶向穿刺组的伤椎后凸角小于常规穿刺组[(15.1±1.6)°vs.(21.2±2.0)°,P<0.05]。结论在PVP治疗骨质疏松性胸腰椎压缩骨折中,应用靶向穿刺技术有助于改善伤椎骨水泥分布,在维持椎体高度及改善疼痛方面具有优势,值得临床推广。展开更多
基金supported in part by the General Program of Natural Science Foundation of Hubei Province,China(Grant No.2020CFB548)a Project in 2021 of Science and Technology Support Plan of Guizhou Province,China(Grant No.202158413293820389).
文摘Objective:To evaluate the clinical efficacy of the preoperative digita1 design combined with three dimensional(3D)printing models to assist percutaneous kyphoplasty(PKP)treatment for thoracolumbar compression frac tures.Methods:From January 2018 to August 2020,we obtained data of 99 patients diagnosed thoracolumbar compression fractures.These patients were divided into control group(n=50)underwent traditional PKP surgery,and observation group(n=49)underwent preoperative digital design combined with 3D printing model assisted PKP treatment.The clinical efficacy was evaluated with five parameters,including operation time,number of intraoperative radiographs,visual analogue scale(VAS)score,Cobb Angle change,and high compression rate of injured vertebrae.Results:There were statistically significant differences of operation time and number of intraoperative radio graphs between the two groups(P<0.05).For VAS score,Cobb Angle change and vertebral height compression rate,all of these three parameters were significantly improved when the patients accepted surgery teatment in two groups(P<0.05).However,there were no significant differences between control group and observation group for these three parameters either before or after surgery(P>0.05).Conclusions:Through the design of preoperative surgical guide plate and the application of 3D printing model to guide the operation,the precise design of preoperative surgical puncture site and puncture Angle of the injured vertebra was realized,the number of intraoperative radiographs was reduced,the operation time was shortened and the operation efficiency was improved.
文摘目的探讨靶向穿刺技术在经皮椎体成形术(PVP)治疗骨质疏松性胸腰椎压缩骨折中的作用,分析其对手术效果及伤椎内骨水泥分布的影响。方法回顾性分析2020年1月—2022年3月北京市顺义区医院骨一科应用PVP治疗骨质疏松性胸腰椎压缩骨折患者113例,男性39例,女性74例;年龄63~75岁,平均68.1岁;高处坠落伤11例,道路交通伤39例,摔伤63例。根据穿刺路径不同分为靶向穿刺组(58例)与常规穿刺组(55例)。比较两组患者手术时间、骨水泥用量、骨水泥渗漏、伤椎内骨水泥分布、术前及术后1 d、3个月VAS及伤椎后凸角(Cobb角)。结果两组术后1 d VAS较术前均有降低[(2.6±0.3)分vs.(8.9±0.5)分、(2.8±0.4)分vs.(8.7±0.6)分,P<0.05],但组间比较差异无统计学意义(P>0.05);术后3个月靶向穿刺组VAS低于常规穿刺组[(0.9±0.2)分vs.(2.4±0.3)分,P<0.05]。两组患者手术时间、骨水泥用量、骨水泥渗漏方面比较差异无统计学意义(P>0.05),但在伤椎骨水泥分布方面靶向穿刺组优于常规穿刺组,差异有统计学意义(P<0.05)。术前及术后1 d伤椎后凸角比较差异无统计学意义(P>0.05),但术后3个月靶向穿刺组的伤椎后凸角小于常规穿刺组[(15.1±1.6)°vs.(21.2±2.0)°,P<0.05]。结论在PVP治疗骨质疏松性胸腰椎压缩骨折中,应用靶向穿刺技术有助于改善伤椎骨水泥分布,在维持椎体高度及改善疼痛方面具有优势,值得临床推广。
