单球囊双侧序贯扩张联合高黏度水泥椎体成形术治疗骨质疏松性椎体压缩骨折的效果及早中期随访观察

doi:10.3969/j.issn.1005-6483.20241596

临床外科杂志 ›› 2025, Vol. 33 ›› Issue (11): 1209-1213.doi: 10.3969/j.issn.1005-6483.20241596

单球囊双侧序贯扩张联合高黏度水泥椎体成形术治疗骨质疏松性椎体压缩骨折的效果及早中期随访观察

518115 广东深圳，深圳市龙岗区第三人民医院骨科

收稿日期:2024-10-07 接受日期:2024-10-07 出版日期:2025-11-20 发布日期:2025-11-20
通讯作者: 黄少敏，Email:henryhsm@163.com

Effect of percutaneous vertebroplasty with single balloon bilateral sequential dilatation and high-viscosity cement in the treatment of OVCFs,and early to mid-term follow-up

Department of Orthopedics,the Third People's Hospital of Longgang District,Guangdong,Shenzhen 518115,China

Received:2024-10-07 Accepted:2024-10-07 Online:2025-11-20 Published:2025-11-20

摘要/Abstract

摘要： 目的观察单球囊双侧序贯扩张联合高黏度水泥椎体成形术（PVP）治疗骨质疏松性椎体压缩骨折（OVCFs）的效果及早中期随访情况。方法 2022年3月～2024年1月OVCFs病人120例，按手术治疗方式不同分为两组，对照组58例，采用高黏度水泥PVP治疗；观察组62例，采用单球囊双侧序贯扩张联合高黏度水泥PVP治疗。观察两组手术指标、疼痛程度视觉模拟评分（VAS）、椎体功能和早中期随访情况。结果观察组的手术时间为（41.84±7.47）分钟，长于对照组的（36.17±6.51）分钟，骨水泥用量为（5.60±1.21）ml，多于对照组的（4.79±1.08）ml，骨水泥弥散系数为（3.48±0.36），高于对照组的（3.30±0.33），两组比较差异有统计学意义（P<0.05）；两组术后3天的VAS评分低于术前，术后3个月的VAS评分低于术后3天，差异有统计学意义（P<0.05）；术后3天，观察组椎体高度为（22.07±2.21）mm，大于对照组的（20.98±2.08）mm，后凸Cobb角为（10.76±1.22）°，小于对照组的（12.29±1.31）°，术后3个月，观察组Oswestry功能障碍指数（ODI）为（21.47±4.13）%，低于对照组的（23.12±4.25）%，差异有统计学意义（P<0.05）。术后3个月两组并发症发生情况相似（P>0.05）。术后6个月观察组并发症发生率为3.23%，低于对照组的13.79%，两组比较差异有统计学意义（P<0.05）。结论单球囊双侧序贯扩张联合高黏度骨水泥PVP治疗OVCFs可提高骨水泥注入量和弥散效果，减少疼痛，有利于椎体功能恢复，早中期随访中并发症发生风险较低。

关键词: 单球囊双侧序贯扩张, 高黏度骨水泥, 经皮椎体成形术, 骨质疏松性椎体压缩骨折, 随访

Abstract: Objective To observe the effect of percutaneous vertebroplasty (PVP) with single balloon bilateral sequential dilatation and high-viscosity cement in the treatment of osteoporotic vertebral compression fractures (OVCFs),and early to mid-term follow-up.Methods 120 patients with OVCFs were retrospectively selected from March 2022 to January 2024 in the hospital,and divided into control group (n=58,PVP with high-viscosity cement) and observation group (n=62,PVP with single balloon bilateral sequential dilatation and high-viscosity cement) according to different surgical methods.Surgical indicators,pain degrees,vertebral function,and early to mid-term follow-up results in both groups were observed.Results The operation time of the observation group was (41.84±7.47) minutes,which was longer than that of the control group (36.17±6.51) minutes.The amount of bone cement used was (5.60±1.21) ml,which was more than that of the control group (4.79±1.08) ml;the dispersion coefficient of bone cement was (3.48±0.36),which was higher than that of the control group [(3.30±0.33)],and the difference between the two groups was statistically significant (P<0.05).The Visual Analogue Scale (VAS) scores of both groups on day 3 after surgery were lower than those before surgery,and the VAS scores at 3 months after surgery were lower than those on day 3 after surgery (P<0.05).On day 3 after surgery,vertebral height of observation group was [(22.07±2.21)mm] greater than that of control group [(20.98±2.08)mm],and Cobb angle was [(10.76±1.22)°] smaller than that of control group [(12.29±1.31)°].Three months after surgery,Oswestry Disability Index (ODI) of observation group was [(21.47±4.13)%] lower than that of control group [(23.12±4.25)%] (P<0.05).Early follow-up found that the incidence of complications in the two groups was comparable (P>0.05).Mid-term follow-up found that the incidence of complications was significantly lower in observation group (3.23%) than in the control group (13.79%) (P<0.05).Conclusion PVP with single balloon bilateral sequential dilatation and high-viscosity cement for OVCFs can improve the injection volume and diffusion effect of cement,reduce pain,and facilitate vertebral function recovery.Moreover,the risk of complications during early to mid-term follow-up is relatively low.

Key words: single balloon bilateral sequential dilatation, high-viscosity cement, percutaneous vertebroplasty, OVCFs, follow-up

钟立坚朱权黄少敏. 单球囊双侧序贯扩张联合高黏度水泥椎体成形术治疗骨质疏松性椎体压缩骨折的效果及早中期随访观察[J]. 临床外科杂志, 2025, 33(11): 1209-1213.

ZHONG Lijian, ZHU Quan, HUANG Shaomin. Effect of percutaneous vertebroplasty with single balloon bilateral sequential dilatation and high-viscosity cement in the treatment of OVCFs,and early to mid-term follow-up[J]. JOURNAL OF CLINICAL SURGERY, 2025, 33(11): 1209-1213.

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单球囊双侧序贯扩张联合高黏度水泥椎体成形术治疗骨质疏松性椎体压缩骨折的效果及早中期随访观察

Effect of percutaneous vertebroplasty with single balloon bilateral sequential dilatation and high-viscosity cement in the treatment of OVCFs,and early to mid-term follow-up

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