PVP结合体位复位治疗老年性胸腰椎骨质疏松性骨折的临床疗效分析  

Clinical Efficacy of PVP Combined with Postural Reduction in the Treatment of Senile Thoracolumbar Osteoporotic Fracture

作　　者：熊昌文 XIONG Chang-wen(Department of Orthopaedics,People＇s Hospital of Xuyi,Xuyi,Jiangsu Province,211700 China)

机构地区：[1]江苏省盱眙县人民医院骨科,江苏盱眙211700

出　　处：《系统医学》2018年第15期69-71,共3页Systems Medicine

摘　　要：目的探讨PVP结合体位复位治疗老年性胸腰椎骨质疏松性骨折的临床效果。方法从2013年6月—2017年6月期间在该院接受治疗的老年性胸腰椎骨质疏松性骨折患者中选取112例展开研究,分析比较手术治疗前、术后72 h以及1年后随访的VAS评分、椎体前缘高度以及并发症发生情况。结果所有患者随访1年后,VAS评分为(2.7±0.88)分,与术前(8.3±0.69)分相比,显著下降,术前与随访后1年相比,差异有统计学意义(t=-52.9975,P<0.05);患者椎体前缘高度为(13.11±1.68)mm,与术前(11.19±1.79)mm相比明显上升(t=8.277 1,P<0.05)。结论采用PVP结合体位复位治疗老年性胸腰椎骨质疏松性骨折,能够减轻患者疼痛,能够固化椎体,具有较高的安全性,且并发症发生率低,值得临床运用推广。Objective To investigate the clinical effect of PVP combined with position reduction in the treatment of osteoporotic thoracolumbar fractures in the elderly. Methods A total of 112 patients with thoracic and lumbar osteoporotic fractures who were treated in the hospital from June 2013 to June 2017 were selected for study. The study was performed before and 72 hours after surgery, and after one year, VAS score, anterior vertebral height, and complications. Results After all patients were followed for 1 year, VAS score was （2.7±0.88） points, which was significantly lower than preoperative （8.3±0.69）points. Compared with 1 year after follow-up,the difference was statistically significant（t=-52.997 5, P〈0.05）. The anterior height of the vertebral body was （13.11±1.68）mm, which was significantly higher than that before surgery （11.19±1.79）mm （t=8.277 1, P〈0.05）. Conclusion PVP combined with position reduction for the treatment of thoracic and lumbar vertebrae osteoporotic fractures can relieve pain and cure the vertebral body. It has high safety and low incidence of complications. It is worthy of clinical application.

关 键 词：PVP 体位复位 老年性胸腰椎骨质疏松性骨折 VAS 椎体前缘高度 

分 类 号：R687[医药卫生—骨科学]