经皮椎体成形术对胸腰椎压缩骨折患者疗效分析  

Analysis of therapeautic effect of percutaneous vertebroplasty on patients with thoracolumbar compression fracture

作　　者：张魁贤 吴惠明[1] 王庆来[1] 吕存贤[1] ZHANG Kuixian;WU Huiming;WANG Qinglai(Wenzhou Hospital of Traditional Chinese Medicine,Affiliated to Zhejiang University of Traditional Chinese Medicine.Zhejiang 325000,China)

机构地区：[1]浙江中医药大学附属温州市中医院,温州325000

出　　处：《浙江创伤外科》2022年第3期425-427,共3页Zhejiang Journal of Traumatic Surgery

摘　　要：目的探究经皮椎体成形术对胸腰椎压缩骨折患者生活质量及疗效分析。方法回顾性分析2017年12月至2019年12月本院收治的胸腰椎骨折患者116例,采用随机数字表法分为对照组及观察组,各58例。对照组采用切开复位内固定术进行治疗,观察组采用经皮椎体成形术进行治疗,所有患者均术后随访1年。观察并比较两组患者术前及术后生活质量(ADL)、椎体功能评分(JOA)、Oswestry功能障碍指数(ODI)、椎体后凸畸形Cobb角变化及椎体前缘高度变化。结果不同时间内两组患者ADL、及JOA随时间发展而上升,ODI随时间发展而下降,且观察组ADL及JOA较对照组上升幅度更大,ODI下降幅度更大(P<0.05);观察组手术时间及术中出血量均少于对照组(P<0.05);治疗后1年,两组患者Cobb角较治疗前明显下降,并且观察组低于对照组,锥体前缘高度均升高,且观察组高于对照组(P<0.05)。结论采用经皮椎体成形术治疗有利于患者伤椎恢复,避免患者长期卧床,从而提高其生活质量。Objective To explore the quality of life and therapeautic effect of percutaneous vertebroplasty on patients with thoracolumbar compression fracture.Methods 116 patients with thoracolumbar fractures admitted to our hospital from June 2018 to December 2021 were retrospectively analyzed.They were divided into control group and observation group by random number table method,58 cases in each group.The control group was treated with open reduction and internal fixation,and the observation group was treated with percutaneous vertebroplasty.All patients were followed up for 1 year after operation.The preoperative and postoperative quality of life(ADL),vertebral function score(JOA),Oswestry disability index(ODI),Cobb angle of kyphosis and anterior vertebral height were observed and compared between the two groups.Results ADL and JOA of the two groups increased with time,and ODI decreased with time,and ADL and JOA of the observation group increased more significantly than those of the control group,and ODI decreased more significantly(P<0.05).The operation time and intraoperative blood loss in the observation group were less than those in the control group(P<0.05).One year after treatment,the Cobb angle of the two groups decreased significantly,and the observation group was lower than the control group,and the height of the anterior cone increased,and the observation group was higher than the control group(P<0.05).Conclusion Percutaneous vertebroplasty is conducive to the recovery of injured vertebrae,avoiding long-term bedridden patients and improving their quality of life.

关 键 词：经皮椎体成形术 胸腰椎压缩骨折 生活质量 疗效 

分 类 号：R687.3[医药卫生—骨科学]