文献类型：期刊文献

中文题名：骨质疏松性椎体压缩性骨折患者椎体成形术后椎体高度恢复的研究

英文题名：Restoration of vertebral height after percutaneous vertebroplasty for osteoporotic vertebral compression fractures

作者：许志明[1];李元贞[1];巩彦龙[1];王志鹏[1];左鹏刚[1];江敏健[1]

第一作者：许志明

机构：[1]甘肃中医药大学附属医院椎间盘中心,甘肃兰州730000

第一机构：甘肃中医药大学第二附属医院

年份：2025

卷号：46

期号：6

起止页码：996

中文期刊名：西安交通大学学报(医学版)

外文期刊名：Journal of Xi’an Jiaotong University(Medical Sciences)

收录：;北大核心:【北大核心2023】；

基金：甘肃省自然科学基金资助(No.23JRRA1195);甘肃省卫生健康行业科研项目(No.GSWSKY2022-79);甘肃省青年科技基金计划项目(No.22JR11RA132);兰州市青年科技人才创新项目(No.2023-QN-194);兰州市科技计划项目(No.2022-3-29);兰州市科技发展指导性计划项目(No.2023-ZD-205)。

语种：中文

中文关键词：骨质疏松性椎体压缩骨折(OVCF);经皮椎体成形术(PVP);椎体高度恢复

外文关键词：osteoporotic vertebral compression fracture(OVCF);percutaneous vertebroplasty(PVP);restoration of vertebral height

摘要：目的通过侧位片分析骨质疏松性椎体压缩性骨折(OVCF)患者在椎体成形术(PVP)术后椎体高度的变化,以明确压缩最显著的部位和恢复效果最佳的部位。方法回顾性分析甘肃中医药大学附属医院椎间盘中心住院的142例患者186个伤椎的侧位片,测量术前和术后的椎体矢状位5个高度参数,并使用SPSS软件对收集的数据进行统计学分析。结果OVCF伤椎术前、术后椎体5个部位高度组内对比均具有统计学意义(P<0.05),从低到高依次为:正中<中前<中后<前缘<后缘。术前与术后椎体的5个部位高度参数之间对比均具有统计学意义(P<0.01)。PVP术后伤椎5个部位高度恢复差值的对比,正中与中前、正中与前缘、中后与前缘3组的高度差值比较无统计学意义(P>0.05),其余组的高度差值对比均具有统计学意义(P<0.05);高度差值从高到低依次为:中前、正中、前缘、中后、后缘。结论在OVCF患者中,伤椎以正中部位的压缩最为明显,其次是中前部位;PVP手术能够有效恢复伤椎各部位的高度,尤其是在椎体中前部位和正中部位的恢复效果尤为显著。
Objective To identify the most significantly compressed areas and the areas with the best recovery effects by analyzing the changes in vertebral height after percutaneous vertebroplasty(PVP)in patients with osteoporotic vertebral compression fractures(OVCF)through lateral radiographs.Methods A retrospective analysis was conducted on the lateral X-rays of 186 injured vertebrae from 142 patients hospitalized in our hospital’s intervertebral disc center.The sagittal height of the vertebrae was measured at five different points before and after surgery,and the collected data were statistically analyzed using SPSS software.Results There were statistically significant differences in the heights of the five measured points before and after surgery within OVCF injured vertebrae(P<0.05),in the ascending order:central0.05).The differences in height restoration for the remaining groups were statistically significant(P<0.05),with the height restoration differences from highest to lowest being:mid-anterior,central,anterior edge,mid-posterior,posterior edge.Conclusion In patients with OVCF,the compression of the injured vertebra is most pronounced in the central part,followed by the mid-anterior part.PVP surgery can effectively restore the height of various parts of the injured vertebra,especially in the mid-anterior and central parts of the vertebral body,where the recovery effect is particularly significant.