椎体后凸成形术与经皮椎体成形术对多发性老年骨质疏松性脊柱骨折的疗效对比分析  

Comparison of the curative effect of vertebral kyphoplasty and percutaneous vertebroplasty in the treatment of elderly patients with multiple osteoporotic spine fractures

作　　者：彭冲[1] 王运涛[1] 刘兴邦[1] 秦为[1] 

机构地区：[1]湖北省潜江市中心医院骨科,湖北潜江433100

出　　处：《颈腰痛杂志》2017年第5期443-447,共5页The Journal of Cervicodynia and Lumbodynia

摘　　要：目的研究椎体后凸成形术治疗多发性老年骨质疏松性脊柱骨折对患者疼痛感的影响以及并发症发生情况。方法选取我院2014-04-2016-04收治的114例老年骨质疏松性脊柱骨折患者,分别采用经皮椎体成形术和经皮椎体后凸成形术进行治疗,通过比较两组患者术前术后VAS评分、SF-36量表以及影像学资料判断患者症状改善情况以及并发症发生情况。结果两组患者的Cobb角以及椎体压缩率术后均有明显的恢复,VAS分均显著降低,SF-36评分显著提高,但在术后各时间点两组比较,观察组均显著优于对照组(P<0.05)。在并发症方面,对照组(17例)相比于观察组(6例)出现了更多的骨水泥渗漏患者,其中1例出现骨水泥刺激神经根导致疼痛,差异有统计学意义(P<0.05)。结论椎体后凸成形术治疗多发性老年骨质疏松性脊柱骨折,可纠正患者脊柱畸形,有效减缓疼痛感,恢复活动能力,提高生活质量,并降低骨水泥渗漏的发生率,值得临床广泛应用。Objective To study the influence of vertebral kyphoplasty on pain and complications in the treatment of elderly patients with multiple osteoporotic spine fractures. Methods From April 2014 to April 2016, a total of 114 senile patients with osteoporosis spine fracture were selected. They were treated by vertebral kyphoplasty or percutaneous vertebroplasty. The improvement of the symptoms and complications were evaluaed by comparing the preoperative VAS score, SF-36 scale and imaging data in two groups. Results The Cobb angle and vertebral compression ratio in two groups had obvious postoperative recovery, visual pain score （VAS） was decreased significantly after surgery, SF-36 scale was significantly increased, at each time point after surgery, those in the observation group were better than the control group （P〈0.05）. In terms of complications, compared with the observation group （6 cases）, the control group （17 cases） had more patients with bone cement leakage, one case with pain induced by bone cement to stimulate the nerve root, the difference was statistically significant （P〈0.05）. Conclusion Vertebral kyphoplasty for multiple senile osteoporosis after spinal fractures can correct the spinal deformity, relieve the pain, restore patients＂ activity, improve the quality of life, and decrease the incidence rate of bone cement leakage, and it is worthy of clinical application.

关 键 词：椎体后凸成形术 骨质疏松 脊柱骨折 骨水泥渗漏 

分 类 号：R589[医药卫生—内分泌]