PVP与PKP治疗骨质疏松性骨折止痛效果分析  

Comparing pain reduction following kyphoplasty and vertebroplasty for osteoporotic vertebral compression fractures

作　　者：贾小林[1] 杨阜滨[1] 谭祖键[1] 杨明[1] 

机构地区：[1]重庆市中山医院骨科

出　　处：《中国骨质疏松杂志》2009年第1期53-55,共3页Chinese Journal of Osteoporosis

摘　　要：目的探讨PVP与PKP技术治疗骨质疏松性骨折止痛效果有无差异。方法35例（41个椎体）骨质疏松性骨折进行PVP治疗；39例（47个椎体）骨质疏松性骨折进行PKP治疗。术前、术后3d、1月、3月应用10分制视觉模拟评分（VAS）对患者疼痛进行评价。结果PVP组术前与术后各时间段比较，均有统计学差异，但术后各时间段无统计学差异；PKP组也得到同样结果。而两组间各时间段进行比较，差异均无显著性。结论PVP与PKP治疗骨质疏松性骨折均有迅速、明确的止痛作用，但二者间无差异。Objective To determine the amount of pain reduction using the visual analog scale （VAS） with kyphoplasty and vertebroplasty in the treatment of osteoporotic vertebral compression fractures. Methods 35 cases （41 vertebrae）of osteoporotic compression fracture of spine were treated with PVP while 39 cases（47 vertebrae） with PKP.The amount of pain reduction was followed and quantified using the visual analog scale （VAS） between vertebroplasty and kyphoplasty. Results The early and later follow-up VAS for vertebroplasty and kyphoplasty was significant when compared to the preoperative VAS,but between the two, the early and later difference in pain relief was not significant. Conclusions The analysis demonstrates that both procedures reduce the amount of pain in the postoperative period.

关 键 词：经皮椎体成形术 经皮椎体后凸成形术 骨质疏松 脊柱骨折 

分 类 号：R683.2[医药卫生—骨科学] R687.3[医药卫生—外科学]