PKP与PVP对骨质疏松椎体压缩骨折患者的治疗效果评价  

Evaluation of Therapeutic Effect of PKP and PVP on Patients with Osteoporotic Vertebral Compression Fracture

作　　者：周仕波 张卿 李才应 ZHOU Shibo;ZHANG Qing;LI Caiying(Department of orthopedics,the first Peoples hospital of Zhaotong city,Yunnan province,Yunnan Zhaotong 757000)

机构地区：[1]云南省昭通市第一人民医院骨一科,云南昭通757000

出　　处：《中国伤残医学》2023年第19期1-5,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:评价经皮椎体后凸成形术(PKP)与经皮椎体成形术(PVP)对骨质疏松椎体压缩性骨折(OVCF)患者的治疗效果。方法:选取我院骨一科2017年5月-2020年5月就诊的90例0VCF患者为研究对象,根据随机数字表法将其分为A组(45例)、B组(45例)。A组接受PKP治疗,B组接受PVP治疗,2组术后均随访6个月。观察2组手术指标,比较2组术前、出院时的伤椎恢复、疼痛情况、术后6个月X线片评分及随访期间并发症、神经功能恢复情况、治疗满意度情况。结果:A组骨水泥注入量、术后伤椎高度高于B组,手术时间长于B组(P<0.05);与术前比较,出院时2组伤椎Cobb角、椎体压缩率、VAS评分降低,A组低于B组(P<0.05);术后6个月,A组椎体中线骨水泥、椎体压缩变形、椎体高度恢复、骨水泥渗漏、骨水泥分布评分高于B组(P<0.05);A组随访期间并发症发生率为13.33%,低于B组的33.33%(P<0.05);A组的神经功能恢复情况明显优于B组,治疗满意度明显高于B组(P<0.05)。结论:PKP与PVP均对OVCF患者有一定的治疗效果。相较于PVP,PKP所需手术时间较长,骨水泥消耗量较高,但其可更好地促进伤椎恢复、缓解患者疼痛,进而促进其术后恢复。Objective:To evaluate the therapeutic effect of PKP and PVP in patients with OVCF.Methods:90 OVCF patients in the First Department of Zhaotong First Peoples Hospital from May 2017 to May 2020 were selected as study subjects and divided into Group A(45 cases)and Group B(45 cases)according to the random number method.Group B will receive PVP and Group A will receive PKP,and both groups will be followed up for 6 months after surgery.The surgical indicators of the two groups were observed,and compared the recovery,pain,X-ray score,complications,neurological function recovery and treatment during the following-up period Satisfaction situation.Results:The cement injection volume and postoperative wound vertebra height in group A were higher than that in group B,and the operation time was longer than that in group B(P<0.05).Compared with preoperative surgery,Cobb angle,vertebral compression rate,and VAS score were lower in both groups,while group A was lower than in Group B(P<0.05).At 6 months after surgery,the midline vertebral cement,vertebral compression deformation,vertebral height recovery,cement leakage,and cement distribution scores were higher in group A than in group B(P<0.05).The complication rate during follow-up was 13.33%,which was lower than 33.33%in Group B(P<0.05).Neurological recovery in group A The condition was significantly better than that of group B,and the treatment satisfaction was significantly higher than that of Group B(P<0.05).Conclusion:Both PKP and PVP have some therapeutic effect in patients with OVCF.Compared with PVP,PKP requires a longer operation time and higher cement consumption,but it can better promote the recovery of injured vertebrae,relieve the pain of patients,and then promote their postoperative recovery.

关 键 词：骨质疏松椎体压缩性骨折 经皮椎体后凸成形术 经皮椎体成形术 

分 类 号：R683.2[医药卫生—骨科学]