Comparative study on the clinical outcomes of a novel rapid puncture positioning system and conventional percutaneous kyphoplasty

中国临床实用医学 Pub Date : 2016-12-25 DOI:10.3760/CMA.J.ISSN.1673-8799.2016.06.002

Yanchun Xie, Anwu Xuan, Liping Zhuo, Zhao Yangyang

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Abstract

Objective To investigate the clinical outcomes of a novel rapid puncture positioning system for percutaneous kyphoplasty and conventional method of percutaneous kyphoplasty on the treatment of osteoporotic vertebral compression fracture. Methods A retrospective analysis from January 2014 to October 2015 in the department of orthopedics, general hospital of shenyang military region underwent PKP surgery in 70 patients, were single segment lumbar vertebrae fresh osteoporotic compression fracture. Intraoperative use of bilateral percutaneous puncture, according to the the puncture location during operation in different ways, which can be divided into PKP operation method using the new fast puncture positioning system of the group (35 cases), conventional PKP surgery group (35 cases), compared to the average operation time, two groups of patients in the X-ray exposure times, before and after the operation. The visual analogue scale, the average height of vertebral body, local improvement of Cobb angle. Results Two groups of patients were operated by the same surgeon successfully, the operation time of new fast puncture positioning system PKP, intraoperative X-ray exposure times respectively are (43±16) min, (32±6) times, the operation time of the traditional PKP, intraoperative X-ray exposure times respectively are (62±13) min, (53±11) times, between the two groups have significant difference (P 0.05). The average height of two groups significantly restore vertebral body and local Cobb angle in preoperation after operation (P 0.05). Conclusion A new fast puncture positioning system PKP surgery and PKP surgery, clinical curative effect is the same, but the former has the advantages of shorter operation time, less intraoperative fluoroscopy times so as to reduce radiation damage to the patient and the patient's X-ray. Key words: A novel rapid puncture positioning system; Ercutaneous kyphoplasty; Osteoporotic vertebral compression fracture; Radiation injury

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新型快速穿刺定位系统与传统经皮后凸成形术临床效果的比较研究

目的探讨新型快速穿刺定位系统经皮后凸成形术与传统经皮后凸成形术治疗骨质疏松性压缩性骨折的临床效果。方法回顾性分析2014年1月至2015年10月在沈阳军区总医院骨科行PKP手术的70例患者，均为单节段腰椎新鲜骨质疏松性压缩性骨折。术中采用双侧经皮穿刺，根据术中穿刺位置不同采用不同方式，其中可分为采用新型快速穿刺定位系统的PKP术组(35例)、常规PKP术组(35例)，对比平均手术时间，两组患者在术前、术后x线暴露次数。视觉模拟量表、椎体平均高度、局部Cobb角改善情况。结果两组患者均由同一术者手术成功，新型快速穿刺定位系统PKP的手术时间、术中x线暴露次数分别为(43±16)min、(32±6)次，传统PKP的手术时间、术中x线暴露次数分别为(62±13)min、(53±11)次，两组间差异有统计学意义(P < 0.05)。两组平均高度术后椎体及局部Cobb角均明显恢复(P < 0.05)。结论新型快速穿刺定位系统PKP手术与PKP手术，临床疗效相同，但前者具有手术时间短、术中透视次数少的优点，从而减少了对患者及患者x线的辐射损伤。关键词:新型快速穿刺定位系统;Ercutaneous kyphoplasty;骨质疏松性椎体压缩性骨折;辐射损伤

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中国临床实用医学

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