高龄胸腰椎骨质疏松压缩性骨折经皮椎体成形术治疗效果分析  

Analysis on effect of percutaneous vertebroplasty in the treatment of elderly osteoporotic thoracolumbar vertebral compression fractures

作　　者：曾昭池[1] 扶晓明[1] 温超轮[1] 朱志勇[1] 

机构地区：[1]解放军第169医院骨科,湖南衡阳421002

出　　处：《临床军医杂志》2012年第5期1054-1055,共2页Clinical Journal of Medical Officers

摘　　要：目的探讨经皮椎体成形术治疗高龄胸腰椎骨质疏松压缩性骨折的效果。方法选择65例胸腰椎骨质疏松压缩性骨折高龄患者,按手术编号随机分为观察组与对照组,观察组33例应用经皮椎体成形术治疗,对照组32例采用非手术疗法,治疗3个月后,比较两组患者疼痛视觉模拟VAS评分,伤椎前后缘高度恢复情况、Cobb’s角矫正情况,并发症发生情况。结果治疗后两组VAS评分均较前降低,且观察组较对照组更明显,两组比较有统计学差异(P<0.05);治疗后观察组伤椎前后缘高度、Cobb’s角改善情况明显优于对照组,两组比较有统计学差异(P<0.05);而并发症发生情况两组比较无统计学差异(P>0.05)。结论经皮椎体成形术治疗高龄胸腰椎骨质疏松压缩性骨折效果肯定。Objective To analyze the treatment effect of percutaneous vertebroplasty on the elderly osteoporotic thoracolumbar vertebral compression fractures.Methods Selected 65 elderly patients with osteoporotic thoracolumbar vertebral compression fractures,according to the operation code randomly divided into observation group and control group,33 patients in observation group were treated with percutaneous vertebroplasty and 32 patients in control group were treated with conservative therapy.After three months of treatment,VAS score,the recovery of vertebral height of leading and trailing edges,Cobb＇s angle correction and complications were compared between the groups.Results After treatment,the VAS scores were lower than before in two groups,but the observation group was more obvious than the control group,the difference has statistical significance（P0.05）.The vertebral height of leading and trailing edges,improve situation of Cobb＇s angle were better in observation group,the difference has statistical significance（P0.05）.Complications in two groups showed no significant difference（P0.05）.Conclusion Percutaneous vertebroplasty on the elderly osteoporotic thoracolumbar vertebral compression fractures showed good effects.

关 键 词：经皮椎体成形术 胸腰椎压缩性骨折 骨质疏松 

分 类 号：R683.2[医药卫生—骨科学]