Department of Orthopedics, The Second Affiliated Hospital of Bengbu Medical College, Bengbu, 233000, China.
J Orthop Surg Res. 2020 Aug 26;15(1):359. doi: 10.1186/s13018-020-01875-4.
To investigate the clinical effect of precise puncture and low-dose bone cement in percutaneous vertebroplasty (PVP).
Sixty patients with osteoporotic vertebral compression fracture (OVCFs) who were treated with PVP in our hospital from July 2018 to June 2019. These included patients were divided into group A (N = 30) and group B (N = 30). Group A has punctured to the fracture area accurately and injected with a small dose of bone cement, the group B was injected with a conventional dose of bone cement. The operation time, the amount of bone cement injection, the number of X-rays, the VAS scores, the leakage rate of bone cement, and the incidence of adjacent vertebral fractures were compared between the two groups.
The operation time, fluoroscopic times, and bone cement volume in group A are less than that in group B (P < 0.05). Patients in group A had a lower incidence of cement leakage and adjacent vertebral fracture than that in patients in group B. There was no significant difference in postoperative pain relief between the two groups.
Precise puncture and injection of small doses of bone cement can reduce the number of X-ray fluoroscopy, operation time, amount of bone cement injection, reduce the rate of bone cement leakage and the incidence of adjacent vertebral fractures, which is a safe and effective surgical approach for the treatment for the aged with OVCFs.
探讨经皮椎体成形术（PVP）中精确穿刺和低剂量骨水泥的临床效果。
选取我院 2018 年 7 月至 2019 年 6 月收治的 60 例骨质疏松性椎体压缩性骨折（OVCFs）患者行 PVP 治疗，根据穿刺方法的不同分为 A 组（n=30）和 B 组（n=30）。A 组采用精准穿刺、小剂量骨水泥注射，B 组采用常规剂量骨水泥注射。比较两组患者的手术时间、骨水泥注射量、X 射线透视次数、视觉模拟评分（VAS）、骨水泥渗漏率及相邻椎体骨折发生率。
A 组手术时间、透视次数及骨水泥注射量均少于 B 组（P<0.05）。A 组骨水泥渗漏及相邻椎体骨折发生率低于 B 组，差异有统计学意义（P<0.05）。两组患者术后疼痛缓解程度比较，差异无统计学意义（P>0.05）。
精准穿刺、小剂量骨水泥注射可减少 X 射线透视次数、手术时间及骨水泥注射量，降低骨水泥渗漏率及相邻椎体骨折发生率，是一种治疗老年 OVCFs 安全、有效的手术方法。
