不同体位行经皮穿刺椎体成形术的比较研究
皮穿刺椎体成形术,,经皮穿刺椎体成形术；,俯卧位；,侧卧位,临床资料,结果,讨论,参考文献：
摘要： 目的 评估侧卧位行经皮椎体成形术的可行性和安全性。方法 采用随机前瞻性分组方法。55例胸腰椎骨质疏松性单、多椎体压缩骨折患者分别分为俯卧位组(A组14例，Am组15例)和侧卧位组(B组14例，Bm组12例)。术前将不能耐受俯卧位时间测试的俯卧位组患者转入侧卧位组。各组均局部麻醉下经单“C”型臂引导行经皮锥体成形术。观察手术时间、骨水泥注射量、术后临床并发症并进行组间比较。结果 A组2例，Am组3例合并严重慢性肺病或肥胖的患者分别转入B组和Bm组。各组手术时间、骨水泥注射量及术后临床并发症发生率之间没有显著差异。结论 侧卧位或俯卧位行经皮穿刺椎体成形术的可行性和安全性无显著差异。侧卧位有利于对俯卧耐受能力差的患者。关键词： 经皮穿刺椎体成形术； 俯卧位； 侧卧位
Comparative study on possibility and safety between prone position and lateral recumbent position in percutaneous vertebroplasty
CHENG Yun,DENG Zhongliang，CHEN Liang，et al.
(Department of Orthopaedics,Second Affiliated Hospital,Chongqing Medical University,Chongqing 400010,China)
Abstract： Objective To evaluate the possibility and safety of lateral recumbent position in percutaneous vertebroplasty(PVP). Methods In 55 patients with single or multi level osteoporotic vertebral compression fracture(OVCF),prone position(group A,group Am) and lateral recumbent position(group B,group Bm) were set in PVP randomly. The time operation taken,the volume of polymethylmethacrylate(PMMA) injected and the incidence of clinical complications were recorded and compared. Resuls Two cases in group A and three cases in group Am with severe chronic pulmonary disease or obesity were altered in group B and group Bm. There were no difference in the time operation taken,the volume of polymethylmethacrylate(PMMA) injected and the incidence of clinical complications between different operation position groups. Conclusion There were no significant differences in possibility and safety in the comparing with PVP in the prone position and lateral recumbent position. Lateral recumbent postion was more suitable for patients which couldn’t tolerate prone position to undergo PVP. ......
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