老年骨质疏松性脊柱压缩骨折手术治疗评价  

Evaluation of Surgical Treatment of Senile Osteoporotic Spinal Compression Fracture

作　　者：贺志强[1] 余勤武[1] 陈先洲[1] 杨亚帆 郭方[1] HE Zhiqiang;YU Qinwu;CHEN Xianzhou;YANG Yafan;GUO Fang(Department of Orthopaedics, The First People's Hospital of Xiantao City, Xiantao Hubei 433000, China)

机构地区：[1]仙桃市第一人民医院骨外科,湖北仙桃433000

出　　处：《中国继续医学教育》2019年第14期96-99,共4页China Continuing Medical Education

摘　　要：目的探讨老年骨质疏松性脊柱压缩骨折的手术治疗及临床预后。方法将2017年5月—2018年3月我院收治的老年骨质疏松性脊柱压缩骨折患者90例分为两组。对照组进行传统的开放手术方式,观察组进行经皮椎体后凸成形术。比较两组患者的治疗效果。结果观察组患者的治疗效果、椎体压缩水平、椎体高度、Cobb角以及肢体功能、手术前的日常活动能力水平、手术后的日常活动能力水平、气胸、血肿以及切口感染等的出现情况率均优于对照组,组间各数据比较,差异均具有统计学意义(P <0.05)。结论老年骨质疏松性脊柱压缩骨折患者行经皮椎体后凸成形术效果明显。Objective To investigate the surgical treatment and clinical prognosis of senile osteoporotic spinal compression fractures. Methods 90 patients with senile osteoporotic spinal compression fractures from May 2017 to March 2018 were divided into two groups. The control group underwent conventional open surgery and the observation group underwent percutaneous kyphoplasty. The therapeutic effects of the two groups werecompared. Results The treatment effect, vertebral compression level, vertebral height, Cobb angle and limb function, the level of daily activity before operation, the level of daily activity after operation, pneumothorax, hematoma and incision infection in the observation group were better than those in the control group. There were significant differences in the data between the two groups(P<0.05). Conclusion Percutaneous kyphoplasty is effective in elderly patients with osteoporotic spinal compression fractures.

关 键 词：老年骨质疏松性脊柱压缩骨折 手术治疗 临床预后 并发症 关节功能状态 日常活动能力 

分 类 号：R687[医药卫生—骨科学]