| 手术床和C形臂X线数字化计量调整在胸腰椎骨质疏松性骨折经皮椎体成形术中的应用 |
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投稿时间：2019-03-28
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| 作者 | Author | 单位 | Address | E-Mail |
| 李驰 |
LI Chi |
温州医科大学附属第一医院骨科, 浙江 温州 325000 |
Department of Orthopaedics, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang, China |
lichi1976@126.com |
| 周洋 |
ZHOU Yang |
温州医科大学附属第一医院骨科, 浙江 温州 325000 |
Department of Orthopaedics, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang, China |
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| 王靖 |
WANG Jing |
温州医科大学附属第一医院骨科, 浙江 温州 325000 |
Department of Orthopaedics, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang, China |
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| 期刊信息：《中国骨伤》2019年，第32卷，第7期，第609-613页 |
| DOI：10.3969/j.issn.1003-0034.2019.07.005 |
| 基金项目:温州市公益性科技计划项目（编号：Y20160396） |
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中文摘要:目的：探讨手术床和C形臂X线数字化计量调整在胸腰椎骨质疏松性骨折经皮椎体成形术中的应用效果。
方法：选取2015年2月至2017年2月收治的94例胸腰椎骨质疏松性骨折患者，按随机数字表法将患者分为对照组和观察组，每组47例。对照组根据经验调整C形臂X线和手术床，观察组在经皮椎体形成术中对手术床和C形臂X线进行数字化计量调整。记录两组患者的手术时间、透视次数、隐形失血量和骨水泥灌注量；采用视觉模拟评分（visual analogue score，VAS）和Oswestry功能障碍指数（Oswestry Disability Index，ODI）观察两组患者的临床疗效；通过影像学资料分析两组患者手术前后的Cobb角、伤椎高度。
结果：观察组手术时间、透视次数、隐形失血量均显著低于对照组（P<0.05），而两组每个骨水泥灌注量比较无统计学意义（P>0.05）；观察组VAS评分、ODI指数显著低于对照组（P<0.05）；两组患者术前术后Cobb角、伤椎高度比较，差异无统计学意义（P>0.05）；观察组发生骨水泥渗漏3例，尿路感染1例，肺部感染1例，褥疮2例，并发症发生率为14.89（7/47），对照组发生骨水泥渗漏8例，脊髓神经损伤2例，尿路感染1例，肺部感染3例，褥疮2例，并发症发生率为34.04（16/47），观察组并发症发生率显著低于对照组（P<0.05）。
结论：手术床和C形臂X线数字化计量调整在胸腰椎骨质疏松性骨折经皮椎体成形术中能提高手术效果，促使患者快速恢复。 |
| 【关键词】手术床 C形臂X线透视机 数字化计量 经皮椎体成形术 |
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| Application of operation bed and C-arm digital metrology adjustment in the percutaneous vertebroplasty for osteoporotic thoracolumbar vertebral fractures |
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ABSTRACT Objective:To explore the application effect of operation bed and C-arm digital metrology adjustment in percutaneous vertebroplasty for osteoporotic thoracolumbar vertebral fractures.
Methods:Ninty-four patients with osteoporotic thoracolumbar vertebral fractures admitted to our hospital from February 2015 to February 2017 were divided into control group and observation group according to random number table method,with 47 cases in each group. Control group adjusted C-arm and operating bed based on experience. For observation group surgical bed and C arm were measured and adjusted digitally and metrologically during percutaneous vertebroplasty. The operation time,times of fluoroscopy,hidden blood loss and bone cement volume were recorded in two groups. The clinical efficacy of two groups was observed by visual analogue score (VAS) and Oswestry Disability Index(ODI). Cobb angle and height of injured vertebrae before and after surgery were analyzed by imaging data.
Results:The operation time,times of fluoroscopy,and hidden blood loss were significantly lower in observation group than in control group (P<0.05),but there was no significant difference in bone cement volume between two groups (P>0.05);VAS and ODI of observation group were significantly lower than that of the control group(P<0.05);there was no significant difference in Cobb angle and height of injured vertebrae before and after operation between two groups. There were 3 cases of cement leakage,1 case of urinary tract infection,1 case of pulmonary infection,2 cases of bedsore in observation group with complication rate was 14.89%(7/47);there were 8 cases of cement leakage,2 cases of spinal nerve injury,1 case of urinary tract infection,3 cases of pulmonary infection,2 cases of bedsore in control group with complication rate was 34.04% (16/47). The incidence of complications in observation group was significantly lower than that of control group (P<0.05).
Conclusion:Operation bed and C-arm digital metrology adjustment can improve the surgical effect in percutaneous vertebroplasty for osteoporotic thoracolumbar vertebral fractures and promote rapid recovery. |
| KEY WORDS Operating bed C-arm X-ray fluoroscopy machine Digital metrology Percutaneous vertebroplasty |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 李驰,周洋,王靖.手术床和C形臂X线数字化计量调整在胸腰椎骨质疏松性骨折经皮椎体成形术中的应用[J].中国骨伤,2019,32(7):609~613 |
| 英文格式: | LI Chi,ZHOU Yang,WANG Jing.Application of operation bed and C-arm digital metrology adjustment in the percutaneous vertebroplasty for osteoporotic thoracolumbar vertebral fractures[J].zhongguo gu shang / China J Orthop Trauma ,2019,32(7):609~613 |
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