手术体位对经皮球囊撑开骨水泥填充椎体成形术治疗骨质疏松性椎体压缩骨折的效果影响

Zhongxiyi Jiehe Huli (Zhong-Yingwen Ban)

吴祥凤¹ 

关键词: 球囊撑开骨水泥填充椎体成形术;    骨质疏松;    椎体压缩骨折;    手术体位;   

DOI  :  10.11997/nitcwm.201501025

学科分类：护理学

来源: Shanghai Jiao Tong University Press

【 摘 要 】

Abstract：ABSTRACT: Objective To discuss the effect of operative position on osteoporotic vertebral compression fractures treated by percutaneous balloon distraction bone cement vertebroplasty. Methods A total of 50 patients with osteoporotic vertebral compression fractures were randomly divided into study group and control group with 25 cases in each group. Operation posture in the study group applied hyperextension position, and the control group applied routine prone position. The visual analog scale (VAS), height of fracture vertebral body, Cobb angle and postoperative complications were observed in the two groups. Results After posture, study group could achieve a greater degree of vertebral body and the pain was alleviated after operation. Compared with the control group, vertebral height and Cobb angle was significantly improved. The differences were statistically significant (P<0.05). No postoperative complications such as bone cement leakage were found. Conclusion Hyperextension position in percutaneous balloon distraction bone cement vertebroplasty plays an important role in relieving pain, restoring the fracture vertebral height and kyphotic deformity, reducing complications. Nurses should strengthen the psychological nursing and posture training, and master the key points to improve the operation effect.

【 授权许可】

CC BY-NC