改良经皮椎体成形术与传统经皮椎体成形术治疗上胸椎骨质疏松性椎体压缩骨折的临床效果对比  

Clinical Effect Comparison of Modified Percutaneous Vertebroplasty and Traditional Percutaneous Vertebroplasty in the Treatment of Osteoporotic Vertebral Compression Fracture of Upper Thoracic Vertebrae

作　　者：简绍锋 周兴茂 吴俊哲 JIAN Shaofeng;ZHOU Xingmao;WU Junzhe(Zhongshan Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Traditional Chinese Medicine,Zhongshan 528400,China)

机构地区：[1]广州中医药大学附属中山中医院,广东中山528400

出　　处：《中外医学研究》2022年第27期35-38,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:研究比较改良经皮椎体成形术(PVP)与传统PVP治疗上胸椎骨质疏松性椎体压缩骨折(OVCF)患者的临床效果。方法:选取2020年1月-2021年9月广州中医药大学附属中山中医院收治的200例上胸椎OVCF患者作为研究对象,采用随机数字表法分为试验组(n=100)和对照组(n=100)。对照组采用传统PVP治疗,试验组采用改良PVP治疗。比较两组围手术期指标、伤椎高度、疼痛症状及功能障碍评分。结果:试验组手术时间、术中X线透视次数低于对照组,差异有统计学意义(P<0.05);试验组与对照组术后3个月的伤椎前缘高度、伤椎中线高度比较,差异无统计学意义(P>0.05);试验组与对照组术后6个月的视觉模拟评分法(VAS)评分、Oswestry功能障碍指数(ODI)比较,差异无统计学意义(P>0.05)。结论:改良PVP治疗上胸椎OVCF患者相较于传统PVP效果相近,患者术后疼痛得到有效缓解且功能障碍明显改善,但改良PVP手术时间更短、术中X线透视次数更少,值得临床推广。Objective:To compare the clinical effects of modified percutaneous vertebroplasty(PVP)and traditional PVP in the treatment of osteoporotic vertebral compression fracture(OVCF)of upper thoracic vertebrae.Method:A total of 200 patients with OVCF of upper thoracic vertebrae treated in Zhongshan Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Traditional Chinese Medicine from January 2020 to September 2021 were selected as the research objects.They were divided into experimental group(n=100)and control group(n=100)by random number table method.The control group was treated with traditional PVP,and the experimental group was treated with modified PVP.The perioperative indexes,injured vertebral height,pain symptoms and dysfunction scores were compared between the two groups.Result:The operation time and intraoperative X-ray fluoroscopy times of the experimental group were lower than those of the control group,and the differences were statistically significant(P<0.05).There were no significant differences in the height of the anterior edge of the injured vertebra and the height of the midline of the injured vertebra between the experimental group and the control group 3 months after operation(P>0.05).There were no significant differences in visual analogue scale(VAS)score and Oswestry dysfunction index(ODI)between the experimental group and the control group 6 months after operation(P>0.05).Conclusion:Compared with traditional PVP,the effect of modified PVP in the treatment of upper thoracic vertebrae OVCF patients is similar.The postoperative pain of patients is effectively relieved and the dysfunction is significantly improved.However,the operation time of modified PVP is shorter and the number of intraoperative X-ray fluoroscopy is less,which is worthy of clinical promotion.

关 键 词：上胸椎骨质疏松性椎体压缩骨折 经皮椎体成形术 改良 传统 

分 类 号：R687.3[医药卫生—骨科学]