PKP和PVP治疗老年人脊柱压缩性骨折疗效比较  

Comparison of PKP and PVP in the Treatment of Elderly Patients with Spinal Compression Fractures

作　　者：刘鹏川[1] 赵学平[1] 邹蕾[1] 江南[1] LIU Peng-chuan;ZHAO Xue-ping;ZOU Lei;JIANG Nan(Guizhou Aerospace Hospital,Guizhou Zunyi 563000)

机构地区：[1]贵州航天医院,贵州遵义563000

出　　处：《深圳中西医结合杂志》2021年第19期140-142,共3页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:分析经皮球囊扩张椎体后凸成形术(PKP)和经皮椎体成形术(PVP)治疗老年脊柱压缩性骨折患者的临床效果。方法:选取贵州航天医院2018年6月至2019年3月收治的90例老年脊柱压缩性骨折患者为研究对象,随机分为对照组与观察组,每组45例。对照组患者采用PVP,观察组患者采用PKP。治疗后,比较两组患者疼痛评分、精神状态评分、生活能力评分、脊柱功能评分以及治疗有效情况。结果:治疗后,观察组患者疼痛评分、精神状态评分、生活能力评分、椎体高度均显著优于对照组,差异具有统计学意义(P<0.05);治疗后,观察组患者Cobb角明显小于治疗前与对照组治疗后,差异均具有统计学意义(P<0.05);观察组患者治疗总有效率为97.8%,显著高于对照组的82.2%,差异具有统计学意义(P<0.05);观察组患者骨水泥渗漏率为0.00%,与对照组患者骨水泥渗漏率11.11%相比,差异具有统计学意义(P<0.05)。结论:相对于PVP治疗老年脊柱压缩性骨折患者,PKP治疗效果更加显著,不仅可以有效地改善患者疼痛,提高患者生活质量,亦可显著提高临床治疗效果,降低骨水泥渗漏率,促进患者椎体高度恢复,纠正脊柱后凸畸形。Objective To study and analyze the clinical effects of percutaneous balloon kyphoplasty(PKP)and percutaneous vertebroplasty(PVP)in the treatment of elderly patients with spinal compression fractures.Methods 90 elderly patients with spinal compression fractures treated in Guizhou Aerospace Hospital from June 2018 to March 2019 were randomly divided into control group and observation group,with 45 cases in each group.PVP was used in the control group and PKP was used in the observation group.After treatment,the pain score,mental state score,life ability score,spinal function score and treatment effectiveness were compared between the two groups.Results After treatment,the pain score,mental state score,life ability score and vertebral body height of the observation group were significantly better than those of the control group(P<0.05);After treatment,the Cobb angle in the observation group was significantly smaller than that before treatment and that in the control group after treatment(P<0.05);The total effective rate of the observation group was 97.8%,which was significantly higher than 82.2%of the control group(P<0.05);The leakage rate of bone cement in the observation group was 0.00%,which was statistically significant compared with 11.11%in the control group(P<0.05).Conclusion Compared with PVP in the treatment of elderly patients with spinal compression fractures,PKP has a more significant effect.It can not only effectively improve the pain and quality of life of patients,but also significantly improve the clinical treatment effect,reduce the leakage rate of bone cement,promote the recovery of vertebral body height and correct kyphosis.At the same time,PKP is more safe and reliable.

关 键 词：脊柱压缩性骨折 经皮球囊扩张椎体后凸成形术 经皮穿刺椎体成形术 老年人 

分 类 号：R683.2[医药卫生—骨科学]