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Clinical analysis of bone cement vertebroplasty for patients with spinal metastasis2023-03-09 10:26Source:International Medical Research Forum
Title: Clinical analysis of bone cement vertebroplasty for patients with spinal metastasis 脊柱转移瘤患者采用骨水泥椎体成形术治疗的临床分析 Name(s): Huang Wenze, Liu Liang 黄文泽 刘亮 Abstract: Objective: To investigate the clinical effect of bone cement vertebroplasty in the treatment of spinal metastasis. Methods: From the patients with spinal metastasis admitted to our hospital from January 2020 to January 2022, 104 patients were randomly selected as the study subjects, and were divided into experimental group and control group by random number table method. The number of patients in both groups was 52. The control group was treated with conventional vertebroplasty, and the experimental group was treated with percutaneous kyphoplasty. Results: After operation, the VAS score of the experimental group was lower than that of the control group, and the anterior edge height of the vertebral body was higher than that of the control group (P<0.05). In terms of ODI score, the ODI score of the experimental group was higher than that of the control group (P. In terms of bone cement leakage, the total incidence of the experimental group was 17. 30%, and that of the control group was 34. 61%, which was statistically significant (P<0.05). Conclusion: In the treatment of spinal metastatic tumors, the use of bone cement vertebroplasty has a significant therapeutic effect. At the same time, the use of percutaneous kyphoplasty has a better effect, which can effectively reduce the occurrence of bone cement leakage, improve the patient's body dysfunction, effectively alleviate the patient's pain, and is worthy of clinical promotion and use.目的：探讨脊柱转移瘤患者采用骨水泥椎体成形术治疗的临床效果。方法：从本院于2020年1月至2022年1月间收治的脊柱转移瘤患者中，随机抽选104例患者作为研究对象，以随机数字表法将其分组为实验组与对照组，两组例数均为52例，对照组采用常规椎体成形术，实验组采用经皮椎体后凸成形术。结果：术后，实验组在VAS评分方面小于对照组，在椎体前缘高度方面高于对照组（P＜0.05）。在ODI评分方面，术后3d、术后30d、术后90d，实验组的ODI评分均高于对照组（P＜0.05）。在骨水泥渗漏情况方面，实验组总发生率17. 30%，对照组总发生率34. 61%，统计学有意义（P＜0.05）。结论：在脊柱转移瘤的治疗中，应用骨水泥椎体成形术，其治疗效果显著，同时，采用经皮椎体后凸成形术的效果更优，能有效减少骨水泥渗漏情况的发生，改善患者机体功能障碍的情况，有效缓解患者的疼痛，值得临床推广和使用。 Key words: Spinal metastasis; Bone cement vertebroplasty; clinical analysis脊柱转移瘤；骨水泥椎体成形术；临床分析
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