经皮椎体后凸成形术治疗老年骨质疏松性椎体压缩性骨折患者40例疗效观察

doi:10.16260/j.cnki.1009-2188.2017.06.006

中国现代手术学杂志

2017, Vol. 21

Issue (6): 419-422 DOI: 10.16260/j.cnki.1009-2188.2017.06.006

临床论著

经皮椎体后凸成形术治疗老年骨质疏松性椎体压缩性骨折患者40例疗效观察

王干生，陈峰，倪生华，秦红明

江苏省盐城市大丰同仁医院，江苏盐城 224100

Clinical Effect on Procedure for Prolapse and Hemorrhoids Combined with Sclerotherapy of Lauromacrogol Injection for Severe Hemorrhoids: 86 Cases Reports

LEI Qingjun1, ZHANG Yiqiang1, WANG Yi1, HE Xiangdong2

1.Department of General Surgery， the First People's Hospital of Taicang，Taicang 215400, Jiangsu, China; 2.Department of Colorectal Surgery，Traditional Chinese Hospital of Xi'an，Xi'an 710021, Shaanxi, China

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摘要目的探讨经皮椎体后凸成形术治疗老年骨质疏松性椎体压缩性骨折患者疗效观察及近、中期预后效果。方法选取我院79例老年骨质疏松性椎体压缩性骨折患者，依据手术术式不同分组，对照组39例采用经皮椎体成形术治疗，观察组40例给予经皮椎体后凸成形术治疗，观察比较两组术前、术后3个月、术后12个月Oswestry功能障碍指数(ODI)评分、疼痛(VAS)评分及手术前后伤椎Cobb角、椎体压缩率变化情况，并统计两组并发症发生率。结果术后3个月及12个月两组ODI、VAS评分均低于术前，观察组术后3个月伤椎Cobb角及椎体压缩率均小于对照组，差异有统计学意义(P<0.05)；观察组并发症发生率为2.50% (1/40)，低于对照组20.51% (8/39)，差异有统计学意义(P<0.05)。结论给予老年骨质疏松性椎体压缩性骨折患者经皮椎体后凸成形术治疗，效果较佳，可矫正畸形，促进椎体高度恢复，降低并发症发生率。

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	LEI Qingjun1
	ZHANG Yiqiang1
	WANG Yi1
	HE Xiangdong2

关键词: 脊柱骨折经皮椎体后凸成形术骨质疏松

Abstract: ObjectiveTo explore the clinical efficacy of procedure for prolapse and hemorrhoids (PPH) combined with sclerotherapy of lauromacrogol injection for treatment of severe hemorrhoids.MethodsA total of 170 cases with severe hemorrhoids (Ⅲ or Ⅳ stage) were randomized into two groups: The treatment group (n=86) were treated by PPH combined with sclerotherapy lauromacrogol injection， and the control group (n=84) were performed the MilliganMorgan haemorrhoidectomy combined with sclerotherapy of lauromacrogol injection. The perioperative outcomes, clinical effect and postoperative complication were compared between two groups.ResultsThe average operative duration and hospital stays was (23.25±3.41)min and (5.20±0.94)d respectively in the treatment group, and was (60.11±4.85)min and (12.57±1.52)d respectively in the control group. There was statistical difference in operative duration and hospital stays between two groups, the treatment group was better （P<0.05）. The total result revealed the effective rate of the treatment group was 95.3% and 96.5% in prolapse symptom and hemorrhage symptom, both were higher than 85.7% and 88.1% of the control group (P<0.05). The postoperative complication of anal pain, analedge edema and dysuria was less in the treatment group than those in the control group (P<0.05), but there was no statistical difference in abnormal defecation between two groups (P>0.05). No anal stenosis was found during followup in both groups.ConclusionThe treatment of PPH combined with sclerotherapy of lauromacrogol injection is an effective therapy for severe hemorrhoids with less damage of the anal function, reliable effect and simple operating.

Key words: hemorrhoids procedure for prolapse and hemorrhoids（PPH） sclerotherapy lauromacrogol MilliganMorgan procedure

发布日期: 2018-05-28 期的出版日期: 2017-12-26

ZTFLH:

R687.3

通讯作者: 王干生

作者简介: 王干生，男，45岁，江苏省盐城市大丰同仁医院副主任医师。

引用本文:

王干生，陈峰，倪生华，秦红明. 经皮椎体后凸成形术治疗老年骨质疏松性椎体压缩性骨折患者40例疗效观察[J]. 中国现代手术学杂志, 2017, 21(6): 419-422.
LEI Qingjun1, ZHANG Yiqiang1, WANG Yi1, HE Xiangdong2. Clinical Effect on Procedure for Prolapse and Hemorrhoids Combined with Sclerotherapy of Lauromacrogol Injection for Severe Hemorrhoids: 86 Cases Reports. Chinese Journal of Modern Operative Surgery, 2017, 21(6): 419-422.

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http://www.surgerychina.com/CN/10.16260/j.cnki.1009-2188.2017.06.006 或 http://www.surgerychina.com/CN/Y2017/V21/I6/419

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