经皮椎体后凸成形术近期效果及再发骨折率与骨质疏松程度的关系研究  

Research of relationship between short-term effect by percutaneous kyphoplasty,recurrent fracture rate and osteoporosis degree

作　　者：杨光[1] 孟庆涛[1] 尚静波[1] 

机构地区：[1]大连市第三人民医院脊柱创伤科,116000

出　　处：《中国实用医药》2016年第33期71-72,共2页China Practical Medicine

摘　　要：目的研究经皮椎体后凸成形术(PKP)近期效果及再发骨折率与骨质疏松程度的关系。方法 80例接受PKP治疗的患者,根据骨质疏松程度分为严重骨质疏松组(43例)及骨量减少组(37例)。比较两组患者PKP治疗后的近期效果及再发骨折率。结果术后3 d、3个月骨量减少组视觉模拟评分法(VAS)、腰椎功能障碍量表(RDQ)评分均低于严重骨质疏松组,差异具有统计学意义(P<0.05)。术后1、2年,骨量减少组再发骨折率分别为0、8.11%,均低于严重骨质疏松组的11.63%、27.91%,差异均有统计学意义(P<0.05)。结论骨质疏松程度程度越高,近期疗效越低,并且术后再发骨折率越高。Objective To research relationship between short-term effect by percutaneous kyphoplasty（PKP）, recurrent fracture rate and osteoporosis degree. Methods A total of 80 patients receiving PKP were divided by their osteoporosis degree into severe osteoporosis group（43 cases）and osteopenia group（37 cases）. Comparison was made on short-term effects and recurrent fracture rates after PKP between the two groups. Results The osteopenia group had obviously lower visual analogue scale（VAS）and Roland-Morris disability questionnaire（RDQ）scores in 3 d and 3 months after operation than the severe osteoporosis group, and the difference had statistical significance（P〈0.05）. In postoperative 1 and 2 years, the osteopenia group had recurrent fracture rate respectively as 0 and 8.11%, which were all lower than 11.63% and 27.91% in the severe osteoporosis group. Their differences all had statistical significance（P〈0.05）. Conclusion Higher osteoporosis degree may lead to lower shout-term effect and higher recurrent fracture rate after operation.

关 键 词：经皮椎体后凸成形术 再发骨折率 骨质疏松程度 

分 类 号：R687.3[医药卫生—骨科学]