后凸成形术治疗胸椎骨质疏松性压缩性骨折前后肺功能的变化  

The Changes of Lung Function in Osteoporotic Thoracic Compression After Kyphoplasty

作　　者：贾一明[1] 冷辉[1] 吴景山[1] 隋雨新[1] 

机构地区：[1]赤峰市医院脊柱外科,内蒙古赤峰024000

出　　处：《内蒙古医学杂志》2015年第8期928-931,共4页Inner Mongolia Medical Journal

摘　　要：目的探讨经皮穿刺球囊扩张椎体后凸成形术(percutaneous kyphoplasty,PKP)治疗胸椎骨质疏松性椎体压缩性骨折(osteoporotic vertebral compression fracture,OVCF)前后肺功能的变化。方法选取我院自2012年11月至2014年11月行PKP术的胸椎OVCF患者共31例(40个椎体),行PKP术对骨折椎体进行治疗,对手术前后肺功能多项指标、骨折椎体后凸Cobb角及疼痛视觉模拟评分(visual analogue scale,VAS)进行测定,以SPSS19.0统计软件包进行统计学分析。结果与术前相比,术后1d与术后3个月时肺功能各指标变化、骨折椎体后凸Cobb角及VAS评分均有统计学意义(P<0.05);与术后1d相比,术后3个月时肺功能各指标及骨折椎体后凸Cobb角无明显变化(P>0.05),VAS评分变化有统计学意义(P<0.05)。结论 PKP术能显著改善胸椎OVCF患者肺功能,纠正后凸畸形、缓解疼痛。Objective To investigate the changes of lung function in thoracic osteoporotic vertebral compression fractures（OVCF）before and after the percutaneous kyphoplasty（PKP）treatment.Methods 31 patients（40 vertebrae）with thoracic OVCF were selected from November 2012 to November 2014 in our hospital,treated by PKP,measured the indicators of lung function,Vertebral kyphosis Cobb angle and visual analogue scale（VAS）before and after the surgery,statistical analysis with the software package SPSS 19.0.Results Compared with preoperative,the indicators of lung function,vertebral kyphosis Cobb angle and VAS scores in postoperative 1d and postoperative 3 months were statistically significant（P〈0.05）;Compared with postoperative 1d,the indicators of lung function,vertebral kyphosis Cobb angle in postoperative 3 months were no statistically significant（P〈0.05）,the changes of VAS scores were statistically significant（P〈0.05）.Conclusion PKP can significantly improve lung function in the patients with thoracic OVCF,correct kyphosis,relieve pain.

关 键 词：骨质疏松症 肺功能 椎体压缩骨折 后凸成形术 

分 类 号：R681.8[医药卫生—骨科学]