球囊扩张椎体后凸成形术治疗脊柱骨质疏松性骨折的临床效果  

Clinical effect of percutaneous kyphoplasty in the treatment of spinal osteoporotic fracture

作　　者：李士民 刘建军[1] 刘相英[1] LI Shimin;LIU Jianjun;LIU Xiangying(Spine Department,Hua County Orthopedics Hospital,Anyang 456485,China)

机构地区：[1]滑县骨科医院脊柱科,河南安阳456485

出　　处：《临床医学研究与实践》2021年第5期86-88,共3页Clinical Research and Practice

摘　　要：目的探讨球囊扩张椎体后凸成形术(PKP)治疗脊柱骨质疏松性骨折的临床疗效。方法将2017年1月至2019年12月我院收治的60例脊柱骨质疏松性骨折患者随机分为对照组和观察组,每组30例。对照组实施经皮椎体成形术(PVP),观察组实施PKP。比较两组治疗效果。结果治疗后,两组VAS、ODI评分均较治疗前降低(P<0.05),但组间无显著差异(P>0.05)。观察组的骨水泥渗漏发生率低于对照组(P<0.05)。治疗后,两组伤椎前、后缘高度比值均大于治疗前,胸腰段上、下部Cobb角均小于治疗前,且观察组优于对照组(P<0.05)。治疗后,两组生活质量评分均高于治疗前,且观察组高于对照组,差异具有统计学意义(P<0.05)。结论PKP与PVP均可改善脊柱骨质疏松性骨折患者的疼痛及脊柱功能障碍。但相较于PVP,PKP在降低术后骨水泥渗漏风险、恢复椎体高度和脊柱生理曲度、提高生活质量方面效果更佳。Objective To investigate the clinical effect of percutaneous kyphoplasty(PKP)in the treatment of spinal osteoporotic fracture.Methods Sixty cases of patients with spinal osteoporotic fracture admitted in our hospital from January 2017 to December 2019 were randomly divided into control group and observation group,with 30 cases in each group.The control group was treated with percutaneous vertebroplasty(PVP),and the observation group was treated with PKP.The therapeutic effects of the two groups were compared.Results After treatment,the VAS and ODI scores of the two groups were lower than those before treatment(P<0.05),but there were no significant differences between the two groups after treatment(P>0.05).The incidence of bone cement leakage in the observation group was lower than that in the control group(P<0.05).After treatment,the height ratio of anterior and posterior edges of injured vertebrae in the two groups were higher than those before treatment,and the Cobb angles of upper and lower thoracolumbar segments in the two groups were smaller than those before treatment,and those in the observation group were better than the control group(P<0.05).After treatment,the quality of life scores of the two groups were higher than those before treatment,those of the observation group were higher than the control group,and the differences were statistically significant(P<0.05).Conclusion Both PKP and PVP can improve the pain and the spinal dysfunction of patients with spinal osteoporotic fracture.Compared with PVP,PKP has better effect in reducing the risk of postoperative bone cement leakage,restoring the vertebral height and physiological curvature,and improving the quality of life.

关 键 词：脊柱骨质疏松性骨折 经皮椎体后凸成形术 经皮椎体成形术 球囊扩张 

分 类 号：R683.205[医药卫生—骨科学]