经皮球囊扩张椎体后凸成形术治疗骨质疏松性椎体骨折的临床效果  

Clinical effect of percutaneous kyphoplasty in the treatment of osteoporotic vertebral fractures

作　　者：王涛[1] 高宗保[1] WANG Tao;GAO Zong-bao(Xi'an Gaoxin Hospital,Xi'an 716000,China)

机构地区：[1]西安高新医院,陕西西安716000

出　　处：《临床医学研究与实践》2018年第35期58-60,共3页Clinical Research and Practice

摘　　要：目的研究经皮球囊扩张椎体后凸成形术(PKP)治疗骨质疏松性椎体骨折的临床效果。方法将92例骨质疏松性椎体骨折患者按手术方式不同分为对照组和观察组,各46例。对照组实施经皮椎体成形术(PVP)治疗,观察组实施PKP治疗。比较两组的治疗效果。结果观察组手术时间、住院时间均短于对照组,骨水泥用量少于对照组(P<0.05)。手术后,两组的VAS、ODI评分均降低,BI评分均升高,且观察组均优于对照组(P<0.05)。手术后,两组的Cobb角均减小,椎体前缘高度和椎体中间高度均增加,且观察组优于对照组(P<0.05)。观察组并发症总发生率略低于对照组,但组间无显著差异(P>0.05)。结论采用PKP治疗骨质疏松性椎体骨折的效果显著,其可明显缩短手术时间,改善椎体功能,缓解疼痛,促进患者日常生活能力恢复,并发症较少,值得临床推广。Objective To study the clinical effect of percutaneous kyphoplasty(PKP)in the treatment of osteoporotic vertebral fractures.Methods Ninety-two patients with osteoporotic vertebral fractures were divided into control group and observation group according to different surgical methods,with 46 cases in each group.The control group was treated with percutaneous vertebroplasty(PVP),and the observation group was treated with PKP.The therapeutic effects of the two groups were compared.Results The surgical time and hospitalization time of the observation group were shorter than those of the control group,and the amount of bone cement usage was less than that of the control group(P<0.05).After surgery,the VAS and ODI scores of the two groups decreased,the BI scores increased,and those in the observation group were better than the control group(P<0.05).After surgery,the Cobb angle of the two groups decreased,the anterior height of vertebral body and the middle height of vertebral body increased,and those of the observation group were better than the control group(P<0.05).The total incidence of complications in the observation group was slightly lower than that in the control group,but there was no significant difference between the two groups(P>0.05).Conclusion The effect of PKP in the treatment of osteoporotic vertebral fractures is remarkable,which can significantly shorten the surgical time,improve vertebral function,relieve pain,promote the recovery of daily living ability of patients,has fewer complications,and is worthy of clinical promotion.

关 键 词：骨质疏松性椎体骨折 经皮球囊扩张椎体后凸成形术 经皮椎体成形术 

分 类 号：R687.3[医药卫生—骨科学]