不同方法治疗伴有椎体内裂隙样变的骨质疏松性椎体压缩骨折临床疗效比较  

Comparative study on clinical efficacy of different methods in the treatment of osteoporotic vertebral compression fractures combined with intra vertebral fissure changes

作　　者：曾利[1] 杜一鑫 郭昌军[1] 曹斌豪 郑锋[1] ZENG Li, DU Yixin, GUO Changjun,(Taizhou First People＇s Hospital, Zhejiang 318020, Chin)

机构地区：[1]浙江省台州市第一人民医院,台州318020

出　　处：《浙江创伤外科》2018年第2期213-216,共4页Zhejiang Journal of Traumatic Surgery

基　　金：浙江省黄岩区2016年科技计划项目(2016044-14)

摘　　要：目的研究分析闭合复位辅助下椎体成形术治疗椎体内裂隙样变骨质疏松性压缩性骨折的临床疗效。方法选取2016年1月至2016年12月本院收治的84例骨质疏松性椎体压缩性骨折伴裂隙样变的患者,治疗医师根据数字表法将所有患者随机平分为两组,其中闭合复位组行闭合复位辅助下经皮椎体成形术治疗,常规组行常规经皮椎体成形术治疗。结果闭合复位组患者术后1周的VAS评分略低于常规组患者(P<0.05);每组患者的术后1周、术后12个月的ODI评分均明显小于手术前(P<0.05);闭合复位组术后6个月、术后12个月的椎体压缩率略高于常规组患者(P<0.05),各组患者在术后即刻、术后6个月的椎体压缩率均明显高于术前(P<0.05)。结论闭合复位辅助下经皮椎体成形术治疗伴裂隙样变的骨质疏松性椎体压缩性骨折临床疗效显著,安全性较高,术后腰背部疼痛改善明显,椎体高度恢复率高、适合临床医师选择应用。Objective To study the clinical effect of closed reduction assisted vertebroplasty for the treatment of osteoporotic vertebral com-pression fractures combined with intra vertebral fissure changes. Methods Totally 84 cases of osteoporotic vertebral compression fractures com-bined with intra vertebral fissure changes who received treatment in our hospital from January 2016 to December 2016 were selected in this study.According to the digital table method, all the patients were randomly divided into two groups, including the closed reduction group（closed reduction assisted percutaneous vertebroplasty） and the conventional treatment group（conventional percutaneous vertebroplasty）. Results The VAS score of the closed reduction group at 1 week post-operatively was significantly lower than that of the conventional treatment group（ P〈0.05）. In the two groups, the ODI scores at 1 week and 12 months post-operatively were significantly lower than those of before operation（ P〈0.05）. Meanwhile, the vertebral body compression rates of the closed reduction group at 6 and 12 months after operation were significantly higher than those of the conven-tional treatment group（P〈0.05）. Additionally, in the two groups, the vertebral body compression rates immediately after operation and at 6 months post-operatively were significantly higher than those of before operation（ P〈0.05）. Conclusion The clinical efficacy of closed reduction assisted percutaneous vertebroplasty for the treatment of osteoporotic vertebral compression fractures combined with intra vertebral fissure changes was signifi-cant, and the safety was relatively high. Moreover, postoperative lumbago pain was obviously improved, and the recovery rate of vertebral height was high. In conclusion, this treatment method was suitable for clinicians to apply.

关 键 词：椎体内裂隙样变 椎体压缩性骨折 闭合复位 椎体成形术 

分 类 号：R687.3[医药卫生—骨科学]