脊柱微创手术治疗骨质疏松性椎体骨折的临床效果分析  

Analysis of the Clinical Effect of Minimally Invasive Spine Surgery in the Treatment of Osteoporotic Vertebral Fractures

作　　者：张涵[1] 尹劲[1] 杨靖泽 黄杰平[1] 周兆文[1] ZHANG Han;YIN Jin;YANG Jingze;HUANG Jieping;ZHOU Zhaowen(Department of Orthopedics,Ganmei Hospital,Kunming First People's Hospital,Kunming,Yunnan Province,650000 China)

机构地区：[1]昆明市第一人民医院甘美医院骨科,云南昆明650000

出　　处：《世界复合医学》2021年第8期106-110,共5页World Journal of Complex Medicine

摘　　要：目的探讨对骨质疏松性椎体骨折患者采用脊柱微创手术治疗的临床效果。方法现选取150例骨质疏松性椎体骨折患者为研究对象,研究时间在2019年1月—2020年12月,按照随机数表法将150例患者分为对照组和研究组,每组75例,其中对照组患者采用保守治疗,而研究组患者采用脊柱微创手术治疗,对比两组患者的治疗效果。结果研究组治疗总有效率93.33%高于对照组73.33%,差异有统计学意义(χ^(2)=10.800,P<0.05)。研究组治疗前疼痛评分与对照组相比,差异无统计学意义(P>0.05);治疗6周和12周后,研究组疼痛评分均低于对照组,差异有统计学意义(P<0.05)。研究组治疗前椎体前缘高度、椎体中部高度和Cobb角对比,差异无统计学意义(P>0.05);研究组治疗后椎体前缘高度和椎体中部高度高于对照组,Cobb角小于对照组,差异有统计学意义(P<0.05)。研究组治疗前日常生活自理能力(ADL)量表和日本骨科协会(JOA)腰背痛疾病治疗成绩标准评分与对照组相比差异无统计学意义(P>0.05);研究组治疗后两项评分均高于对照组,差异有统计学意义(P<0.05)。研究组并发症发生率5.33%低于对照组16.00%,差异有统计学意义(P<0.05)。结论对骨质疏松性椎体骨折患者采用脊柱微创手术治疗不仅可以有效改善患者的疼痛症状,促进骨折端的愈合,还可以减少并发症的出现,改善患者的预后情况,提高患者的临床治疗效果,临床应用价值显著。Objective To investigate the clinical effect of minimally invasive spinal surgery for patients with osteoporotic vertebral fractures.Methods Now 150 patients with osteoporotic vertebral fractures are selected as the research objects.The study period was from January 2019 to December 2020.According to the random number table method,150 patients were divided into control group and study group,each group had 75 cases,the control group was treated conservatively,while the study group was treated with minimally invasive spinal surgery.The treatment effects of the two groups were compared.Results The total effective rate of treatment in the study group was 93.33%higher than that in the control group 73.33%,the difference was statistically significant(χ^(2)=10.800,P<0.05).The pain scores of the study group before treatment were not statistically significantly different from those of the control group(P>0.05);after 6 weeks and 12 weeks of treatment,the pain scores of the study group were lower than those of the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the height of the anterior vertebral body,the height of the middle vertebral body and the Cobb angle in the study group before treatment(P>0.05);the height of the anterior vertebral body and the height of the middle vertebral body in the study group were higher than the control group after treatment,and the Cobb angle was smaller than the control group,the difference was statistically significant(P<0.05).There was no statistically significant difference between the study group's self-care ability(ADL)scale and the Japanese Orthopaedic Association(JOA)treatment scores for low back pain disease before treatment and the control group(P>0.05);the study group had both scores after treatment higher than the control group,the difference was statistically significant(P<0.05).The complication rate of the study group was 5.33%lower than that of the control group,and the difference was statistically si

关 键 词：骨质疏松性椎体骨折 脊柱微创手术 保守治疗 疼痛 神经功能恢复 日常生活质量 并发症 

分 类 号：R816.8[医药卫生—放射医学]