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中华老年骨科与康复电子杂志 ›› 2022, Vol. 08 ›› Issue (02) : 117 -122. doi: 10.3877/cma.j.issn.2096-0263.2022.02.008

综述

不同穿刺入路行椎体成形术治疗骨质疏松椎体压缩骨折的研究进展
顾晨希, 虞宵, 黄安全, 王烨峰, 蔡小强, 沈军, 邹天明()   
  1. 215000 苏州,南京医科大学附属苏州医院南京医科大学姑苏学院苏州市立医院脊柱外科
  • 收稿日期:2021-08-23 出版日期:2022-04-05
  • 通信作者: 邹天明
  • 基金资助:
    苏州市临床重点病种诊疗技术专项项目(LCZX201910)

Research progress of different puncture approaches in vertebroplasty for osteoporotic vertebral compression fractures

Chenxi Gu, Xiao Yu, Anquan Huang, Yefeng Wang, Xiaoqiang Cai, Jun Shen, Tianming Zou()   

  1. Department of Spinal Surgery, The Affiliated Suzhou Hospital of Nanjing Medical University, Gusu School, Nanjing Medical University, Suzhou Municipal Hospital, Suzhou 215000, China
  • Received:2021-08-23 Published:2022-04-05
  • Corresponding author: Tianming Zou
引用本文:

顾晨希, 虞宵, 黄安全, 王烨峰, 蔡小强, 沈军, 邹天明. 不同穿刺入路行椎体成形术治疗骨质疏松椎体压缩骨折的研究进展[J]. 中华老年骨科与康复电子杂志, 2022, 08(02): 117-122.

Chenxi Gu, Xiao Yu, Anquan Huang, Yefeng Wang, Xiaoqiang Cai, Jun Shen, Tianming Zou. Research progress of different puncture approaches in vertebroplasty for osteoporotic vertebral compression fractures[J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2022, 08(02): 117-122.

骨质疏松性椎体压缩骨折(OVCF)是最常见的骨质疏松性骨折,严重影响患者的生活质量。尽快解除疼痛和恢复功能活动是治疗OVCF的首要目的,但保守治疗的效果并不理想,长期卧床容易引起一系列的并发症。经皮穿刺椎体成形术(PVP)是治疗OVCF的主要手段,因其创伤小、恢复快、疗效好,已在临床上得到了广泛的应用。为使椎体成形手术更安全有效,目前临床上针对穿刺入路的研究仍不断进展,大体上可分为椎弓根内和椎弓根外两大类,而且不同穿刺入路的适应症和注意点有所不同,如何选择最佳的穿刺入路仍存在争议。结合本单位开展经验及最新研究,本文就PVP术的不同穿刺入路及相关预后情况进行分析对比,以期能为临床手术的入路选择提供参考。

Osteoporotic vertebral compression fractures (OVCF) are the most-common osteoporotic fractures, which seriously affect the quality of life of affected patients. Relieving pain and restoring functional activities as soon as possible are the primary purpose in the treatment of OVCF. Nevertheless, the efficacy of conservative treatments is not satisfactory, and long-term bed rest is prone to a series of complications. Percutaneous vertebroplasty (PVP) is the main method for the treatment of OVCF. Research progress has been continuously made on puncture approaches used in PVP, aiming to enhance the surgical safety and efficacy. Generally, intrapedicular approach and extrapedicular approach are commonly used in PVP, which have different indications and points to consider. So far, how to select the optimal puncture approach in PVP is controversial. Combined with our clinical experiences and the latest research progress, this study aims to analyze and compare the effect of different puncture approaches in PVP on the prognosis of OVCF patients, thus providing a reference for selecting the optimal puncture approach in PVP.

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