手法复位结合经皮椎体成形术与经皮椎体后凸成形术治疗骨质疏松性椎体压缩骨折的疗效比较分析  

Comparison on Effects of Manual Reduction Combined with PVP and PKP in the Treatment of Osteoporotic Vertebral Compression Fracture

作　　者：曹强[1] 周煜虎[1] 段明明[1] 王飞[1] 李长红[1] CAO Qiang;ZHOU Yu-hu;DUAN Ming-ming(Department of Orthopedics,Affiliated Hospital of Yan’an University,Yan’an 716000,China)

机构地区：[1]延安大学附属医院骨科

出　　处：《中国中西医结合外科杂志》2020年第1期132-135,共4页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

基　　金：陕西省社会发展科技攻关项目(2015SF115);延安市科技惠民计划项目(2016HM-10-03);延安市科技攻关计划项目(2017KS-06)

摘　　要：目的:对比手法复位结合经皮椎体成形术(PVP)与经皮椎体后凸成形术(PKP)治疗新鲜单节段骨质疏松性椎体压缩骨折(OVCF)的临床疗效。方法:回顾性收集我院收治的63例OVCF患者的临床资料,依采用手法复位结合PVP方法分为观察组32例,采用PKP方法分为对照组31例。记录两组手术时间、骨水泥渗漏例数、住院天数、治疗费用,以及术前术后伤椎前缘高度(AVH)、伤椎后凸Cobb角、疼痛视觉模拟(VAS)评分、Oswestry功能障碍指数(ODI)评分。结果:63例患者均顺利完成手术。观察组手术时间、治疗费用少于对照组,差异均有统计学意义(P<0.05)。两组骨水泥渗漏例数、住院天数比较差异均无统计学意义(P>0.05)。两组术后AVH、Cobb角、VAS评分、ODI评分对比术前,差异均有统计学意义(P<0.05);但两组间上述指标比较,差异均无统计学意义(P>0.05)。结论:手法复位结合PVP与PKP治疗OVCF均可获得满意的临床疗效,但手法复位结合PVP具有手术时间短、治疗费用少的优势。Objective To compare the clinical effects of manual reduction combined with percutaneous vertebroplasty(PVP)and percutaneous vertebral kyphoplasty(PKP)in the treatment of fresh single-segment osteoporotic vertebral compression fractures(OVCF).Methods The clinical data of 63 patients with OVCF admitted to our hospital were retrospectively collected.According to the method of manual reduction combined with PVP,the patients were divided into observation group(32 cases)and control group(31 cases)by PKP method.The operation time,number of cement leakage cases,length of hospital stay,treatment cost,preoperative and postoperative injured anterior vertebrae height(AVH),kyphosis Cobb angle,pain visual analogue scale(VAS)score and Oswestry Dysfunction Index(ODI)score were recorded.Results All 63 patients successfully completed the operation.The operation time and treatment cost of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).There were no significant differences in the number of cases of cement leakage and the length of hospital stay between the two groups(P>0.05).There were significant differences in postoperative and preoperative AVH,Cobb angle,VAS scores,and ODI scores between the observation and control groups(P<0.05).There were no statistically differences in AVH,Cobb angles,VAS scores and ODI scores between the groups(P>0.05).Conclusion Manual reduction combined with PVP and PKP can achieve satisfactory clinical results in the treatment of OVCF,but manual reduction combined with PVP has the advantages of short operation time and low treatment cost.

关 键 词：手法复位 经皮椎体成形术 经皮椎体后凸成形术 骨质疏松性椎体压缩骨折 

分 类 号：R683.2[医药卫生—骨科学]