骨质疏松脊柱压缩性骨折临床手术的价值分析  

Analysis of the Clinical Value of Operation in Osteoporotic Vertebral Compression Fractures

作　　者：任中全[1] 

机构地区：[1]营山县人民医院骨科,四川营山637700

出　　处：《现代诊断与治疗》2015年第10期2166-2167,共2页Modern Diagnosis and Treatment

摘　　要：目的探讨骨质疏松脊柱压缩性骨折手术的临床价值。方法选取收治的骨质疏松脊柱压缩性骨折患者72例,随机分为PVP组和PKP组各36例,观察组给予PVP治疗,对照组给予PKP治疗。比较两组临床疗效。结果治疗后两组VAS、Oswestry及椎体高度均有改善,但PKP组椎体高度明显优于PVP组,差异具有统计学意义(P<0.05);PKP组手术时间及骨水泥注射量均明显高于PVP组,差异具有统计学意义(P<0.05);PVP组骨水泥渗漏率明显高于PKP组,差异具有统计学意义(P<0.05)。结论 PVP与PKP两种手术均能改善患者症状,缓解疼痛,均为治疗骨质疏松脊柱压缩性骨折的有效方式。Objective To investigate the clinical value of surgical treatment for osteoporotic verte- bral compression fractures. Methods 72 patients with osteoporotic vertebral compression fractures were randomly divided into PVP group and PKP group with 36 cases in each group. The obser- vation group was treated with PVP, and the control group was treated with PKP. To compare the clinical effect of the two groups. Results The two groups of vas and Oswestry and vertebral heights were improved after treatment in, but PKP group vertebral height was significantly better than that in the PVP group, the difference has statistical significance （P〈O.05）; PKP group opera- tion time and bone cement injection volume were significantly higher than those in the PVP group, the difference has statistical significance （P〈0.05）; PVP group of bone cement leakage rate was significantly higher than that of the PKP group, the difference is statistically significant （P〈 0.05）. Conclusions PVP and PKP two can improve the symptoms of patients, relieve pain, and are effective ways for the treatment of osteoporotic vertebral compression fractures.

关 键 词：经皮椎体成形术 经皮椎体后凸成形术 骨质疏松脊柱压缩性骨折 

分 类 号：R683.2[医药卫生—骨科学]