PKP与PVP治疗老年骨质疏松性胸腰椎压缩性骨折疗效分析  

Effect Analysis of PKP and PVP in the Treatment of Senile Osteoporotic Thoracolumbar Compression Fractures

作　　者：彭琪[1] 吴仕舟 黄丽先 余娜[1] PENG Qi;WU Shizhou;HUANG Lixian;YU Na(West China Hospital of Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院,四川成都610041

出　　处：《北华大学学报（自然科学版）》2023年第5期630-635,共6页Journal of Beihua University（Natural Science）

基　　金：四川省科技计划项目(2023YFS0147)。

摘　　要：目的探讨经皮椎体后凸成形术(PKP)与经皮椎体成形术(PVP)治疗老年骨质疏松性胸腰椎压缩性骨折疗效及对疼痛视觉模拟量表(VAS)评分、Oswsetry功能障碍指数评分和术后并发症的影响.方法回顾性分析98例老年骨质疏松性胸腰椎压缩性骨折患者临床资料,按治疗方式分为对照组(50例,接受PKP治疗)和试验组(48例,接受PVP治疗).观察两组治疗后的临床疗效、围术期指标、VAS评分、Oswestry功能障碍指数问卷表(OswestryDabilityIndex,ODI)、术后并发症、伤椎前缘高度以及伤椎中部高度.结果治疗后,试验组与对照组患者的总有效率比较差异无统计学意义(P>0.05).治疗后,试验组患者的总透视次数、术中出血量、骨水泥注入量、住院时间与对照组比较差异无统计学意义(P>0.05).治疗后3个月、6个月,试验组患者的VAS评分、ODI评分与对照组患者比较差异无统计学意义(P>0.05),而两组与治疗前比较,VAS评分、ODI评分均降低(P<0.05).治疗后,试验组并发症发生率与对照组比较差异无统计学意义(P>0.05).治疗前,两组伤椎前缘高度及伤椎中部高度与椎间隙高度比较差异无统计学意义(P>0.05);治疗后3个月、6个月,试验组患者的伤椎前缘高度均高于对照组,伤椎中部高度均高于对照组,椎间隙高度均高于对照组(P<0.05).结论PKP与PVP能够提高患者的临床疗效,降低围术期指标,改善其疼痛感,提升活动功能,减少并发症的发生率,PKP在减少椎间隙高度丢失方面效果更为显著.Objective To investigate the efficacy of PKP and PVP in the treatment of osteoporotic thoracolumbar compression fractures in the elderly,and their effects on the scores of Visual Analogue Scale(VAS),Oswsetry dysfunction index and postoperative complications.Method Retrospective analysis was made on 98 elderly patients with osteoporotic thoracolumbar vertebral compression fractures.They were divided into control group(50 cases receiving PKP treatment)and observation group(48 cases receiving PVP treatment)according to the treatment mode.The clinical efficacy,perioperative indicators,VAS scores,ODI,postoperative complications,the height of the anterior edge of the injured vertebra and the height of the middle of the injured vertebra were observed after treatment.Results After treatment,there was no significant difference of the total effective rate between observation group and control group(P>0.05).After treatment,there was no significant difference between observation group and control group in total fluoroscopy times,intraoperative blood loss,bone cement injection amount and hospital stay(P>0.05).At 3 months and 6 months after treatment,there was no statistical significance in VAS score and ODI score between observation group and control group(P>0.05),while VAS score and ODI score decreased between the two groups compared with before treatment,with statistical significance(P<0.05).After treatment,there was no significant difference in the complication rate between the observation group and the control group(P>0.05).Before treatment,there was no significant difference in the height of anterior vertebra,the height of middle vertebra and the height of intervertebral space between the two groups(P>0.05).At 3 months and 6 months after treatment,the frontal height of injured vertebrae in the observation group was higher than that in the control group.The middle height of the injured vertebrae was higher than that of the control group,and the height of the intervertebral space was higher than that in control group(P<0.0

关 键 词：经皮椎体后凸成形术 经皮椎体成形术 VAS评分 Oswsetry功能障碍指数 

分 类 号：R683[医药卫生—骨科学]