经皮穿刺椎体后凸成形术联合抗骨质疏松治疗骨质疏松性椎体压缩性骨折的效果分析  

Analysis of the Effect of Percutaneous Kyphoplasty Combined with Anti-osteoporosis in the Treatment of Osteoporotic Vertebral Compression Fractures

作　　者：吕小飞 LYU Xiao-fei(Department of Orthopedics,Shanjuan Orthopedic Hospital,Yixing,Jiangsu Province,214200 China)

机构地区：[1]宜兴市善卷骨科医院骨科,江苏宜兴214200

出　　处：《中外医疗》2020年第32期57-59,共3页China & Foreign Medical Treatment

摘　　要：目的探讨经皮穿刺椎体后凸成形术联合抗骨质疏松治疗骨质疏松性椎体压缩性骨折的效果。方法方便选取2018年6月—2019年12月在该院接受治疗的35例骨质疏松性椎体压缩性骨折患者,均接受经皮穿刺椎体后凸成形术联合抗骨质疏松治疗,观察治疗效果。结果手术穿刺成功率100.0%,平均手术时间为(40.22±5.12)min,骨水泥平均注射量为(4.05±1.22)mL。术后7 d、术后3个月患者Cobb角为(7.28±1.54)°、(6.19±1.02)°,显著低于术前(16.37±2.63)°,差异有统计学意义(P<0.05),术后7 d、术后3个月患者VAS评分为(3.27±1.02)、(2.11±0.50)分,均显著低于术前(6.69±1.05)分,差异有统计学意义(P<0.05);术后7 d、3个月患者椎体前缘高度分别为(17.68±1.09)、(18.24±1.16)mm,显著高于术前(15.21±1.34)mm,差异有统计学意义(P<0.05)。术后患者无死亡出现,椎前渗漏1例,椎间隙渗漏1例,术后3个月进行复查,骨折完全愈合。结论采用经皮穿刺椎体后凸成形术联合抗骨质疏松治疗骨质疏松性椎体压缩性骨折,可明显改善骨质疏松性椎体压缩性骨折病情,缓解疼痛。Objective To investigate the effect of percutaneous kyphoplasty combined with anti-osteoporosis in the treatment of osteoporotic vertebral compression fractures.Methods Thirty-five patients with osteoporotic vertebral compression fractures who were treated in the hospital from June 2018 to December 2019 were conveniently selected.All patients received percutaneous puncture kyphoplasty combined with anti-osteoporosis treatment effect.Results The success rate of surgical puncture was 100.0%,the average operation time was(40.22±5.12)min,and the average injection volume of bone cement was(4.05±1.22)mL.The Cobb angles of patients 7 d after operation and 3 months after operation were(7.28±1.54)°and(6.19±1.02)°,which were significantly lower than preoperative(16.37±2.63)°,the difference was statistically significant(P<0.05)The VAS scores of patients at 7 d and 3 months after surgery were(3.27±1.02)points and(2.11±0.50)points,which were significantly lower than preoperative(6.69±1.05)points,and the difference was statistically significant(P<0.05);the height of the anterior edge of the vertebral body was(17.68±1.09)mm and(18.24±1.16)mm respectively at 7 d and 3 months after operation,which was significantly higher than that before operation(15.21±1.34)mm,the difference was statistically significant(P<0.05).There was no death in postoperative patients,1 case of prevertebral leakage,1 case of intervertebral leakage,and reexamination was performed 3 months after the operation,and the fracture was completely healed.Conclusion Percutaneous puncture kyphoplasty combined with anti-osteoporosis in the treatment of osteoporotic vertebral compression fractures can significantly improve the condition of osteoporotic vertebral compression fractures and relieve pain.

关 键 词：骨质疏松性椎体压缩性骨折 经皮穿刺椎体后凸成形术 抗骨质疏松 视觉模拟评分 椎体前缘高度 

分 类 号：R687.3[医药卫生—骨科学]