经皮椎体成形术与后凸成形术治疗骨质疏松性椎体压缩骨折的疗效比较  

Comparison clinical efficacy of percutaneous vertebroplasty and percutaneous kyphoplasty in the treatment of osteoporotic vertebral compression fractures

作　　者：刘庆[1] 徐俊杰[1] 李业海[1] 姚继荣[1] 梁俊升[1] 刘和风[1] 

机构地区：[1]安徽医科大学附属巢湖医院骨科二病区,安徽合肥238000

出　　处：《临床骨科杂志》2017年第2期150-153,共4页Journal of Clinical Orthopaedics

摘　　要：目的比较经皮椎体成形术(PVP)和经皮椎体后凸成形术(PKP)治疗骨质疏松性椎体压缩骨折的疗效。方法将69例骨质疏松性椎体压缩骨折患者随机分为PVP组(34例)和PKP组(35例),记录手术时间、放射暴露次数、治疗费用、骨水泥渗漏情况,比较患者术前和术后疼痛VAS评分、ODI、后凸Cobb角、椎体高度。结果患者均获得随访,时间12~18个月。PKP组手术时间、放射暴露次数、治疗费用均多于PVP组(P<0.05,P<0.01)。术后PVP和PKP组的VAS评分、ODI均较术前明显改善(P<0.05,P<0.01);术后Cobb角、椎体高度PKP组优于PVP组(P<0.05)。PKP组的骨水泥渗漏率低于PVP组(P<0.001)。结论PVP及PKP均为治疗骨质疏松性椎体压缩骨折的有效方法。PKP恢复椎体高度及矫正后凸畸形效果较好,骨水泥渗漏风险小。Objective To compare the clinical efficacy of percutaneous vertebroplasty（ PVP） and percutaneous kyphoplasty（ PKP） for osteoporotic vertebral compressive fracture（ OVCF）. Methods The 69 patients with OVCF were retrospectively analyzed. Patients were divided into the PVP group（ 34 patients） and the PKP group（ 35 patients）. The pre-and post-operative VAS,Oswestry disability index,cobb angle,vetebral height were compared; operation time,radiation exposure times,hospital expenses and bone cement leakage of both groups were recorded. Results All the patients were followed up for 12 - 18 months. The operation time,radiation exposure times,hospital expenses were much more in PKP than those in PVP group（ P〈0. 05,P〈0. 01）. The VAS,Oswestry disability index in both groups were all improved after the operation（ P〈0. 05,P〈0. 01）. Compared with PVP group,Cobb angle,vertebral height were better in PKP group（ P〈0. 05）. Compared with PVP group,bone cement leakage rate were lower in PKP group（ P〈0. 001）. Conclusions Both PVP and PKP can treat OVCF effectively. PKP can correct kyphosis better and reduce the incidence of bone cement leakage.

关 键 词：骨质疏松症 经皮椎体成形术 经皮椎体后凸成形术 椎体压缩性骨折 

分 类 号：R683.2[医药卫生—骨科学] R687.3[医药卫生—外科学]