经皮椎体成形术结合骨质疏松治疗仪治疗老年骨质疏松骨折的疗效观察  

Objective to observe the curative effect of percutaneous vertebroplasty combined with osteoporosis therapy apparatus in the treatment of osteoporotic fractures in elderly patients

作　　者：魏星[1] 李波[1] 冯世龙[1] Wei Xing;Li Bo;Feng Shilong(Orthopaedic Spine Disease Area,Chongqing Three Gorges Central Hospital,Chongqing 404000,China)

机构地区：[1]重庆三峡中心医院骨科脊柱病区

出　　处：《中华保健医学杂志》2020年第1期53-56,共4页Chinese Journal of Health Care and Medicine

摘　　要：目的观察经皮椎体成形术(percutaneous vertebroplasty,PVP)结合骨质疏松治疗仪治疗老年骨质疏松性椎体压缩性骨折(osteoporosis vertebral compression fractures,OVCF)的治疗效果。方法回顾性分析重庆三峡中心医院2018年1月~6月间收治的OVCE老年患者资料,根据治疗方法选取108例以胸腰椎支具结合骨质疏松治疗仪治疗的患者纳入对照组,108例以PVP结合骨质疏松治疗仪治疗的患者纳入观察组。对比观察两组患者术前、治疗后4个月时疗效指标,疼痛程度、椎体高度、Cobb角度、骨密度(bone mineral density,BMD)及Oswestry功能障碍指数(ODI)的变化情况,统计术后椎体高度丢失发生率。结果观察组显效率为50.93%,对照组显效率为25.00%,观察组临床疗效优于对照组,差异有统计学意义(P <0.05)。治疗后4个月,两组疼痛程度、椎体高度、Cobb角度、BMD均较术前改善,且观察组疼痛程度、椎体高度、Cobb角度均优于对照组,差异有统计学意义(P <0.05);两组患者ODI各子项评分均较术前改善,且观察组均优于对照组,差异有统计学意义(P <0.05);观察组椎体高度丢失率为2.78%(3/108),对照组为12.96%(14/108),观察组治疗后椎体高度丢失率低于对照组,差异有统计学意义(P <0.05)。结论经皮椎体成形术结合骨质疏松治疗仪能够有效增加老年骨质疏松骨折患者的骨密度,减轻患者椎体功能障碍,缓解相关症状与体征,降低治疗后椎体高度丢失发生率。Objective To observe the therapeutic effect of percutaneous vertebroplasty(PVP)combined with osteoporosis therapy apparatus in the treatment of elderly osteoporotic vertebral compression fracture(OVCF). Methods The 216 OVCE elderly patients admitted and treated in our hospital from January to June 2018 were enrolled,according to the treatment method,108 cases of patients treated with thoracolumbar spine support combined with osteoporosis treatment instrument were selected as the control group,and 108 patients treated with PVP combined with osteoporosis treatment device were selected as the observation group.The efficacy of the two groups was compared.At 4 months after surgery,the preoperative and postoperative efficacy indexes of the two groups were observed,including pain degree,vertebral height,Cobb Angle,BMD and Oswestry dysfunction index.And the incidence of postoperative vertebral height loss was calculated. Results The apparent efficiency in the observation group was 50.93%,and that in the control group was 25.00%.The clinical efficacy in the observation group was better than that in the control group,and the difference was statistically significant(P < 0.05);4 months after surgery,the pain degree,vertebral height,cobb angle and bone density of the two groups were all improved compared with those before surgery(P < 0.05).The pain degree,vertebral height and Cobb Angle in the observation group were all better than those in the control group(P < 0.05).4 months after surgery,ODI scores of the two groups were all improved compared with those before surgery(P < 0.05),and ODI scores in the observation group was higher than those in the control group(P < 0.05).The rate of vertebral height loss in the observation group was 2.78%(3/108),it was lower than that in the control group which was 12.96%(14/108). Conclusion Percutaneous vertebroplasty combined with osteoporosis therapy instrument can effectively improve the therapeutic effect of osteoporotic fractures in the elderly,reduce vertebral dysfunction,alleviate re

关 键 词：经皮椎体成形术 骨质疏松性椎体压缩骨折 老年患者 骨质疏松治疗仪 

分 类 号：R681[医药卫生—骨科学]