Department of Orthopedic Surgery, Guangzhou Hospital of Integrated Traditional and Western Medicine, 87 Yingbin Road, Huadu District, Guangzhou, 510800, Guangdong, China.
J Orthop Surg Res. 2020 Aug 20;15(1):342. doi: 10.1186/s13018-020-01872-7.
To evaluate the analgesic effect of vertebral cancellous bone infiltration anaesthesia during percutaneous vertebroplasty (PVP).
Patients treated with vertebral cancellous bone infiltration anaesthesia (intervention group) or local anaesthesia alone (control group) during PVP at our institution during 2016-2018 were reviewed. The visual analogue scale (VAS) score before the operation, during establishment of the puncture channel, during pressure changes in the vertebral body (e.g., when removing or inserting pushers or needle cores), during bone cement injection, immediately after the operation, and at 2 h and 1 day postoperatively were compared between the groups. The patient's satisfaction with the operation was recorded and compared between groups.
A total of 112 patients were enrolled (59 cases in the intervention group and 53 cases in the control group). There was no difference in the VAS score between the groups before the operation or during establishment of the intraoperative puncture channel (P > 0.05). The VAS score in the intervention group was significantly lower than that in the control group during pressure changes in the vertebral body (removal or insertion of puncture needle cores or pushers) and bone cement injection (P < 0.05). Immediately after the operation and at 2 h postoperatively, the pain in the intervention group was also significantly lower than that in the control group (P < 0.05), but there was no significant difference between the groups at 1 day postoperatively (P > 0.05). The patient satisfaction rate was 88% (52/59) in the intervention group and 67% (35/53) in the control group (P < 0.05).
Vertebral cancellous bone infiltration anaesthesia may effectively relieve intraoperative pain and improve the surgical experience of patients without affecting the clinical effect of surgery.
评估经皮椎体成形术（PVP）中经椎骨松质骨渗透麻醉的镇痛效果。
回顾了 2016-2018 年在我院接受经椎骨松质骨渗透麻醉（干预组）或单纯局部麻醉（对照组）的 PVP 患者。比较两组患者术前、穿刺通道建立时、椎体压力变化时（如取放穿刺针芯或推注器时）、骨水泥注射时、术后即刻及术后 2h 和 1d 的视觉模拟评分（VAS），记录患者对手术的满意度并进行组间比较。
共纳入 112 例患者（干预组 59 例，对照组 53 例）。两组患者术前及术中穿刺通道建立时 VAS 评分无差异（P>0.05）。在椎体压力变化（取放穿刺针芯或推注器时）和骨水泥注射时，干预组的 VAS 评分明显低于对照组（P<0.05）。术后即刻和 2h 时，干预组疼痛也明显低于对照组（P<0.05），但术后 1d 时两组间无差异（P>0.05）。干预组患者满意度为 88%（52/59），对照组为 67%（35/53）（P<0.05）。
经椎骨松质骨渗透麻醉可有效缓解术中疼痛，改善患者的手术体验，且不影响手术的临床效果。
