不同手术治疗单节段骨质疏松性脊柱骨折的效果比较研究  

Comparative effectiveness research of different surgeries in the treatment of osteoporotic spinal fractures

作　　者：王斌[1] 吴楚君[1] 梁培雄 杨明兴 

机构地区：[1]湖南省湘潭市第一人民医院骨外科,411101

出　　处：《临床合理用药杂志》2017年第33期29-30,共2页Chinese Journal of Clinical Rational Drug Use

摘　　要：目的比较不同手术治疗单节段骨质疏松性脊柱骨折(OVCF)的临床效果。方法选取湘潭市第一人民医院2015年1月—2016年10月收治的单节段OVCF患者38例,随机分成A组(n=18)和B组(n=20)。A组患者采取传统开放手术治疗,B组患者采用经皮椎体后凸成形术(PKP)治疗。比较两组患者手术时间、术中出血量及住院时间,观察患者并发症发生情况。结果 B组患者手术时间、住院时间短于A组,术中出血量少于A组(P<0.05)。B组患者并发症发生率明显低于A组(P<0.05)。结论对于单节段OVCF患者而言,采用PVP治疗方案具有创伤小、恢复快及切口感染、气胸、血肿等并发症少的优势,更有利于改善患者预后,促进关节功能恢复。Objective To compare different surgeries in the treatment of osteoporotic spinal fractures（ OVCF）.Methods A total of 38 cases of patients with OVCF were selected from January 2015 to October 2016 in the First People＇s Hospital of Xiangtan,which were divided into A group（ n = 18） and B group（ n = 20）. A group was treated with conventional open surgery,B group was underwent percutaneous vertebroplasty（ PKP）. The clinical effect（ operation time,intraoperatve blood loss,hospitalization time） were compared between the two groups,and the incidence of complications was observed. Results B group of operation time,hospitalization time were shorter than A group,intraoperatve blood loss was less than A group（ P 〈 0. 05）. The complications rate of B group was significantly lower than that of A group（ P 〈 0. 05）. Conclusion Compared with the traditional open surgery,the use of PKP has an advantage of smaller trauma,easier recovery,less complications and so on,which is beneficial to the prognosis and functional recovery of patients.

关 键 词：骨质疏松性骨折 脊柱骨折 疗效比较研究 

分 类 号：R687.3[医药卫生—骨科学]