手法整复结合经皮椎体后凸成形术治疗骨质疏松性椎体压缩性骨折73例  

Manipulative Reduction Jointed with PKP in Treating 73 Cases of Osteoporotic Vertebral Compression Fracture

作　　者：安福[1] 马富海[1] 樊成虎[1] 赵庆[1] 张绍文[1] 唐晓栋[1] 齐兵献[1] 

机构地区：[1]甘肃省中医院,甘肃兰州730050

出　　处：《西部中医药》2016年第6期122-124,共3页Western Journal of Traditional Chinese Medicine

摘　　要：目的:观察手法整复结合经皮椎体后凸成形术(PKP)治疗骨质疏松性椎体压缩骨折(OVCF)的临床疗效。方法:将157例患者随机分为2组。观察组73例采用手法复位结合PKP治疗;对照组84例单用PKP治疗。观察2组椎体高度恢复及Cobb角、Oswestry评分改善情况。结果:手术时间及骨水泥注射量2组比较,差异有统计学意义(P<0.05)。椎体高度、后凸Cobb角、VAS评分、Oswestry评分2组治疗后均有明显变化(P<0.05),观察组较对照组变化明显(P<0.05)。结论:手法整复结合PKP治疗OVCF可恢复伤椎高度,降低水泥泄漏发生率。Objective： To survey clinical effects of manipulative reduction jointed with percutaneous kyphoplasty（PKP） in treating osteoporotic vertebral compression fracture（OVCF）. Methods： All 157 patients were randomized into two groups. 73 cases of the observation group were treated by manipulative reduction and PKP; 84 cases of the control group by PKP only. The improvements of Oswestry scales, Cobb angle and vertebral height recovery of both groups were observed. Results： The difference showed statistical meaning in the comparison of operation time, bone cement injection amount between both groups（P〈0.05）. Vertebral height, kyphosis Cobb angles, VAS scales and Oswestry scores changed obviously after treating in both groups（P〈0.05）, the change of the observation group was more notable compared with that of the control group（P〈0.05）. Conclusion： Manipulative reduction combined with PKP in treating OVCF could restore vertebral heights and reduce cement leakage incidence.

关 键 词：椎体压缩骨折 骨质疏松性 经皮椎体后凸成形术 手法整复 

分 类 号：R285.5[医药卫生—中药学]