经皮椎体成形术与椎体后凸成形术治疗老年骨质疏松性椎体压缩性骨折的临床疗效分析  

Protruding after Percutaneous Vertebral Plasty with Vertebral Plasty in the Treatment of Senile Osteoporotic Vertebral Compression Fractures in Clinical Curative Effect Analysis

作　　者：刘伯昊[1] 李美军[1] 冼庆章[1] 霍翰源 

机构地区：[1]广州市番禺区中医院骨科,广东广州511400

出　　处：《罕少疾病杂志》2016年第6期53-55,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的探究在老年骨质疏松性椎体压缩性骨折的临床治疗中经皮椎体成形术和椎体后凸成形术的应用效果。方法 2015年9月至2016年3月期间,我院骨科接受治疗的老年骨质疏松性椎体压缩性骨折患者中90例作为研究对象,根据患者进入我院接受治疗的先后顺序进行分组,其中单号为对照组,双号为观察组,两组患者分别45例,对照组患者在治疗期间使用经皮椎体成形术进行治疗,观察组患者则采用经皮椎体后凸成形术进行治疗,对比两组患者的临床治疗效果。结果观察组患者在治疗后椎体前缘的平均高度在正常值的95.3%,而对照组患者在治疗后椎体前缘的平均高度在正常值的74.7%,观察组治疗后椎体前缘高度明显高于对照组,差异具有统计学意义(P<0.05),同时两组患者在治疗后疼痛程度均有显著改善(P<0.05),但是两组患者间的数据对比差异无统计学意义(P>0.05),另外两组患者在治疗过程中的并发症发生率差异无统计学意义(P>0.05)。结论在老年骨质疏松压缩性骨折患者的临床治疗中经皮椎体成形术和椎体后图椎体成形术都有很好的应用,并且经皮椎体后凸成形术的应用效果更佳,值得在临床上推广应用。Objective To explore the elderly osteoporotic vertebral compression fractures in clinical treatment, leather vertebral plasty and the application effect of the protruding after vertebral plasty. Methods 90 cases of elderly patients with osteoporotic vertebral compression fractures in our hospital as the research object from September 2015 to March 2016, 90 cases were divided into two group according to treated orders in our hospital, the odd number as the control group, the even number as the observation group, 45 cases respectively, the patients in the control group with percutaneous vertebral plasty treatment, observation group patients with protruding after percutaneous vertebral plasty, compared the clinical therapeutic effect of the two groups patients. Results The observation group after treatment in patients with average height on the front of the 95.3% of the normal, and on the front of the control group after treatment in patients with 74.7% of the average height in normal, after treatment fanterior flange height observation group was obviously higher than the control group, there was significant statistically difference （P〈0.05）, two groups of patients after treatment at the same time the degree of pain were improved significantly （P〈0.05）, but the data comparison between the two groups of patients have no statistical difference （P〉0.05）, the other two groups of patients in the treatment of the complications in the process of no statistical difference （P〉0.05）. Conclusion The patients with senile osteoporosis compression fractures in clinical treatment, leather vertebral plasty and vertebral body complex vertebral plasty has very good application, and the application effect of the protruding after percutaneous vertebral plasty is better, worthy of popularization and application in clinic.

关 键 词：老年骨质疏松 压缩性骨折 经皮椎体成形术 椎体后凸成形术 

分 类 号：R681.5[医药卫生—骨科学]