经皮椎体后凸成形术治疗老年骨质疏松性脊柱骨折的效果及对功能障碍程度影响的观察  

The Effect of Percutaneous Kyphoplasty in the Treatment of Osteoporotic Spine Fractures in the Elderly and Its Effect on the Degree of Dysfunction

作　　者：王鹏翔[1] WANG Pengxiang(Nantong Traditional Chinese Medicine Hospital,Nantong,Jiangsu 226001,China)

机构地区：[1]南通市中医院,江苏南通226001

出　　处：《大医生》2020年第8期5-7,共3页Doctor

摘　　要：目的研究老年骨质疏松性脊柱骨折患者开展经皮椎体后凸成形术治疗的价值。方法选取2017年8月至2019年2月南通市中医院收治的老年骨质疏松性脊柱骨折患者60例。按照随机数字表法分为试验组与对照组,每组30例。对照组开展经皮椎体成形术治疗,试验组开展经皮椎体后凸成形术治疗,对比两组患者治疗后1个月的临床总有效率及临床指标。结果试验组患者的临床总有效率为93.33%,显著高于对照组的73.33%(P<0.05);试验组患者的临床指标优于对照组(功能障碍程度对比t=10.678,P=0.000;疼痛程度对比t=10.132,P=0.000)。结论老年骨质疏松性脊柱骨折患者开展经皮椎体后凸成形术治疗,可降低患者的机体疼痛程度,缩短手术时间,减少术中出血量,改善患者功能障碍的程度。Objective To study the value of percutaneous kyphoplasty in elderly patients with osteoporotic spine fractures.Methods Totally 60 elderly patients with osteoporotic spinal fractures who were treated to the Nantong Traditional Chinese Medicine Hospital from August 2017 to February 2019 were selected.According to the random number table method,they were divided into a test group and a control group,each with 30 cases.The control group was treated with percutaneous vertebroplasty,and the test group was treated with percutaneous kyphoplasty and clinical indicators.Results The total clinical effective rate of the experimental group was 93.33%,which was significantly higher than that of the control group 73.33%(P<0.05).The clinical index of the experimental group was better than that of the control group(the degree of dysfunction,t=10.678,P=0.000;the pain contrast dysfunction,t=10.132,P=0.000).Conclusions Percutaneous kyphoplasty for elderly patients with osteoporotic spinal fractures can reduce body pain,shorten the operation time,reduce the amount of intraoperative blood loss,improve the degree of dysfunction.

关 键 词：骨质疏松症 椎体 骨折 经皮椎体后凸成形术 

分 类 号：R68[医药卫生—骨科学]