PVP与PKP治疗老年椎体压缩骨折的临床疗效及不良事件分析  

Analysis of Clinical Curative Effect and Adverse Events of PVP and PKP in Treatment of Senile Vertebral Body Crush Fracture

作　　者：刘元兵[1] 卢弘栩 戴永平[1] 张君[1] 丁健[1] LIU Yuan-bing;LU Hong-xu;DAI Yong-ping;ZHANG Jun;DING Jian(Department of Orthopedics,Rugao People’s Hospital,Rugao,Jiangsu Province,226500 China)

机构地区：[1]如皋市人民医院骨科,江苏如皋226500

出　　处：《系统医学》2017年第14期66-68,共3页Systems Medicine

基　　金：2015年度南通市市级科技计划(指导性)项目(编号:qyz15031)

摘　　要：目的探究经皮椎体成形术(percutaneous vertebra plasty,PVP)与椎体后凸成形术(percutaneous kypho plasty,PKP)治疗老年椎体压缩骨折的临床疗效及不良事件。方法选取2014年8月—2017年2月收治的118例椎体压缩骨折患者临床资料进行分析,将其依据术式不同分成PVP组(55例)与PKP组(63例),比较两组椎体高度与Cobb’s角度数、疼痛评分与不良事件发生率。结果术后PKP组Cobb’s角度数(16.14±3.06)°小于PVP组,椎体高度(23.83±2.47)mm高于PVP组,比较差异有统计学意义(P<0.05);PKP组与PVP组术后VAS评分(2.08±0.87)分、(2.15±1.01)分均低于术前,比较差异有统计学意义(P<0.05);PKP组与PVP组均未出现肺栓塞、感染不良事件,骨水泥渗漏发生率PKP组4.76%低于PVP组,比较差异有统计学意义(P<0.05)。结论老年椎体压缩骨折应用PKP可有效降低不良事件发生率,且疗效显著。Objective To study the clinical curative effect and adverse events of PVP and PKP in treatment of senile vertebral body crush fracture.Methods 118 cases of patients with vertebral body crush fracture admitted and treated in our hospital from August 2017 to February 2017 were selected and divided into two groups according to different operation methods,including 55 cases in the PVP group and 63 cases in the PKP group,and the vertebral body height,degree of Cobb’s angle,pains score and incidence rate of adverse reactions of the two groups were compared.Results The postoperative Cobb’s angle degree in the PKP group was(16.14±3.06)°lower than that in the PVP group,and the vertebral body height was(23.83±2.47)mm,which was higher than that in the PVP,and the difference was statistically significant(P<0.05),The postoperative VAS score(2.08±0.87)points in group PKP and group PVP was(2.15±1.01)points lower than that before operation,and the difference was statistically significant(P<0.05);and there were no pulmonary embolism and adverse infection events in the two groups,and the incidence rate of bone cement leakage in the PKP group was 4.76%,which was lower than that in the PVP group,and the differences were statistically significant(P<0.05).Conclusion The application of PKP in the senile vertebral body crush fracture can effectively decrease the incidence rate of adverse events,and the curative effect is obvious.

关 键 词：椎体成形术 椎体后凸成形术 椎体压缩骨折 疼痛 不良事件 

分 类 号：R683[医药卫生—骨科学]