中国组织工程研究

中国组织工程研究 ›› 2012, Vol. 16 ›› Issue (47): 8755-8759.doi: 10.3969/j.issn.2095-4344.2012.47.004

• 组织工程骨及软骨材料 tissue-engineered bone and cartilage materials • 上一篇    下一篇

丙烯酸树脂骨水泥椎体成形治疗Kümmell病早期椎体后凸角的变化

李智斐，钟远鸣，刘 尚，张家立，韦家鼎，唐福波，马显生，宋泉生   

  1. 广西中医学院第一附属医院脊柱外科，广西壮族自治区南宁市 530023
  • 收稿日期:2012-02-24 修回日期:2012-04-18 出版日期:2012-11-18 发布日期:2012-11-18
  • 通讯作者: 钟远鸣，骨科教授，主任医师，硕士生导师，广西中医学院第一附属医院脊柱外科，广西壮族自治区南宁市 530023
  • 作者简介:李智斐★，男，1980年生，河南省郏县人，汉族，2007年广西中医学院毕业，硕士，主治医师，主要从事脊柱脊髓损伤的中西医结合诊疗研究。 zhifei815@yahoo.com.cn

Changes of vertebral kyphosis angle after acrylic resin bone cement vertebroplasty for the early stage of Kümmell disease

Li Zhi-fei, Zhong Yuan-ming, Liu Shang, Zhang Jia-li, Wei Jia-ding, Tang Fu-bo, Ma Xian-sheng, Song Quan-sheng   

  1. Department of Spinal Surgery, First Affiliated Hospital of Guangxi University of Chinese Medicine, Nanning 530023, Guangxi Zhuang Autonomous Region, China
  • Received:2012-02-24 Revised:2012-04-18 Online:2012-11-18 Published:2012-11-18
  • Contact: Zhong Yuan-ming, Professor, Chief physician, Master’s supervisor, Department of Spinal Surgery, First Affiliated Hospital of Guangxi University of Chinese Medicine, Nanning 530023, Guangxi Zhuang Autonomous Region, China
  • About author:Li Zhi-fei★, Master, Attending physician, Department of Spinal Surgery, First Affiliated Hospital of Guangxi University of Chinese Medicine, Nanning 530023, Guangxi Zhuang Autonomous Region, China zhifei815@yahoo.com.cn

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摘要：

背景：在Kümmell病发病早期采用微创方法对病椎进行丙烯酸树脂骨水泥椎体成形治疗，手术创伤小且能获得良好临床疗效。
目的：验证丙烯酸树脂骨水泥椎体成形治疗Kümmell病的临床效果。
方法：回顾性分析2008年1月至2010年6月在广西中医学院第一附属医院脊柱外科行丙烯酸树脂骨水泥椎体成形治疗12例Kümmell病患者的临床资料。
结果与结论：12例患者治疗后1周及半年数字疼痛评分均较治疗前明显减轻(P < 0.001)，患椎椎体后凸角及椎体压缩率亦较治疗前有了一定的好转(P < 0.05)。说明椎体成形治疗Kümmell可以取得较好的临床效果。

关键词: 丙烯酸树脂骨水泥, Kümmell病, 创伤后椎体迟发性骨坏死, 椎体成形, 后凸角

Abstract:

BACKGROUND: At the early stage of Kümmell disease, acrylic resin bone cement vertebroplasty for symptomatic vertebrae by using minimally invasive methods results in minor trauma and can get a good clinical effectiveness.
OBJECTIVE: To verify the clinical effect of acrylic resin bone cement vertebroplasty for Kümmell disease.
METHODS: Clinical data of 12 cases of Kümmell disease undergoing acrylic resin bone cement vertebroplasty (2008-01/2010-06) in the Department of Spinal Surgery, the First Affiliated Hospital of Guangxi University of Chinese Medicine was retrospectively analyzed.
RESULTS AND CONCLUSION: After surgery for 1 week and 6 months, scores on the numeric rating scale of the 12 cases were significantly improved (P < 0.001). Besides, vertebral kyphosis angle and vertebral compression rate were improved (P < 0.05). These findings suggest that acrylic resin bone cement vertebroplasty for Kümmell disease can achieve good clinical results.

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