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《防腐標本椎體成形術(shù)、椎體后凸成形術(shù)術(shù)后最大垂直載荷的影響因素.pdf》由會員上傳分享,免費在線閱讀,更多相關(guān)內(nèi)容在應用文檔-天天文庫。
1、·2658·中華實驗外科雜志2013年12月第3O卷第12期ChinJExpSurg,December2013,Vo1.30,I.12·實驗研究·防腐標本椎體成形術(shù)、椎體后凸成形術(shù)術(shù)后最大垂直載荷的影響因素黃晨齊向北康樂高守達桑林朝【摘要】目的探討單、雙側(cè)注入骨水泥及注入骨水泥前灌洗椎體對椎體后凸成形術(shù)(KP)、椎體成形術(shù)(VP)術(shù)后最大垂直載荷的影響。方法將48個標本分為6組。A、B、E、F組分別行單側(cè)KP、VP手術(shù);C、D組分別行雙側(cè)KP、VP手術(shù);E、F組在注入骨水泥前,用生理鹽水灌洗椎體。記錄術(shù)前及術(shù)后椎體的最
2、大垂直載荷并進行比較。結(jié)果KP及VP術(shù)后椎體的最大垂直載荷差異無統(tǒng)計學意義(A組與B組:t’=0.746,P>0.05;C組與D組:t’=0.312,P>0.05;E組與F組:t’=0.830,P>0.05);單側(cè)和雙側(cè)注入骨水泥后椎體的最大垂直載荷差異無統(tǒng)計學意義(A組與c組:t’=0.374,P>0.05;B組與D組:t’=0.529;P>0.05);進行生理鹽水灌洗對術(shù)后椎體最大垂直載荷無明顯影響(A組與E組:t’=0.821,P>0.05;B組與F組:t’:0.449,P>0.05)。結(jié)論單、雙側(cè)注入骨水泥以及
3、注入骨水泥前生理鹽水灌洗椎體對術(shù)后椎體最大垂直載荷無明顯影響,但注入骨水泥前灌洗椎體可增強術(shù)后椎體最大垂直載荷。【關(guān)鍵詞】椎體后凸成形術(shù);椎體成形術(shù);骨水泥;灌洗;最大垂直載荷Theefectonthemaximumverticalloadofvertebroplastyandkyphoplastyonemb~medspecimensHUANGChen,Q1Xiang—bei,KANGLe,GAOShou—da,SANGLin—chao.DepartmentofOrthopaedics,theThirdHospital
4、,beMedicalUniversity.跏ijiazhuang050051.inaCorrespondingauthor:Q1Xiang—bei,Email:qixiangbei126@126.corn【Abstract】0bjectiveTostudyifthemaximumverticalloadwasdifferencewhenbonecementwereinpulsedbyunilateralvertebralpedicleandbilateralvertebralpedicleornormalsalineo
5、nvertebroplas—tyandkyphoplasty.MethodsSelectsixembalmedvertebralspecimens(T8-L5),freeinto48individualvertebraeweremadeintocompressionfracturemode1.Allthespecimensweredividedintosixgroups.GroupAandBappliedunilateralKPandVPrespectively,groupCandDappliedbilateralKP
6、andVPre—spectively,GroupEandFappliedunilateralKPandVPwithnormalsalinelavagevertebralbodybeforetheinjectionofbonecement.postoperativeloadingverticalagain,measuredthemaximumverticalload,recor—dedtheresults,usingSPSSstatisticalsoftwareforapproximatet-testtocomparet
7、heresults.ResultsThereisnosignificantdifferencebetweenthemaximumverticalloadsafterVPgroupandKPgroup(groupAandgroupB:t’=0.746,P>0.05;groupCandgroupD:t’=0.312,尸>0.05;groupEandgroupF:t’=0.830,P>0.05).Thereisnosignificantdifferencebetweenthemaximumverticalloadsofuni
8、pe—diculargroupandbipediculargroup(groupAandgroupC:t’=0.374,P>0.05;groupBandgroupDgroup:t’=0.529;P>0.05).Whetherusingsalinewaterirrigationornot,postoperativevertebral