经皮椎体后凸成形术与经皮椎体成形术治疗老年椎体压缩性骨折疗效对比  

Comparison of Clinical Efficacy of Percutaneous Kyphoplasty and Percutaneous Vertebroplasty in the Treatment of Vertebral Compression Fracture in the Elderly

作　　者：翟永喜 程宏宇 ZHAI Yongxi;CHENG Hongyu(Department of Orthopedics,The Seventh People’s Hospital of Zhengzhou,Zhengzhou,Henan 450016,China)

机构地区：[1]郑州市第七人民医院骨科,河南郑州450016

出　　处：《中国烧伤创疡杂志》2023年第6期460-463,共4页The Chinese Journal of Burns Wounds & Surface Ulcers

摘　　要：目的对比分析经皮椎体后凸成形术(PKP)与经皮椎体成形术(PVP)治疗老年椎体压缩性骨折的临床疗效。方法选取2019年1月至2021年1月郑州市第七人民医院收治的87例老年椎体压缩性骨折患者作为研究对象,按照不同治疗方法将其分为PKP组(43例)和PVP组(44例),PKP组患者采用PKP治疗,PVP组患者采用PVP治疗,对比观察两组患者椎体恢复情况、疼痛程度以及生活质量。结果术后即刻及术后3个月,PKP组患者椎体前柱高度、椎体中柱高度均明显高于PVP组(术后即刻:t=3.366、2.668,P=0.001、0.009;术后3个月:t=3.658、3.847,P<0.001、P=0.002),椎体前柱高度恢复率明显大于PVP组(t=8.115、6.065,P均<0.001),后凸角角度明显小于PVP组(t=4.655、5.716,P均<0.001)。术后3个月,PKP组患者视觉模拟评分法(VAS)评分明显低于PVP组(t=2.652,P=0.009),健康调查量表36(SF-36)中的生理机能、生理职能评分均明显高于PVP组(t=2.187、3.013,P=0.032、0.003)。结论与PVP相比,PKP更能明显提高老年椎体压缩性骨折患者椎体高度,恢复椎体形态和稳定性,减轻患者疼痛程度,提高患者生活质量。Objective To compare the clinical efficacy of percutaneous kyphoplasty(PKP)and percutaneous ver⁃tebroplasty(PVP)in the treatment of vertebral compression fracture in the elderly.Methods 87 elderly patients with ver⁃tebral compression fractures admitted into The Seventh People’s Hospital of Zhengzhou between January 2019 and January 2021 were enrolled as subjects of research,and divided into PKP group(n=43)and PVP group(n=44)based on the dif⁃ferent treatments they received.Patients in PKP group were treated with PKP,whereas patients in PVP group were treated with PVP.The vertebral recovery condition,pain degree,and quality of life were compared between the two groups.Results Immediately after surgery and at month 3 after surgery,the anterior column height of vertebral body and the middle column height of vertebral body of patients in the PKP group were both significantly higher compared with the PVP group(immediately after surgery:t=3.366 and 2.668,P=0.001 and 0.009;month 3 after surgery:t=3.658 and 3.847,P<0.001 and P=0.002);The recovery rate of anterior column height in the PKP group was significantly higher than that in the PVP group(t=8.115 and 6.065,both P<0.001),and the kyphosis angle was significantly smaller in the PKP group(t=4.655 and 5.716,both P<0.001).At month 3 after surgery,the visual analogue scale(VAS)score of patients in the PKP group was significantly lower than that in the PVP group(t=2.652,P=0.009),and the physical function and role physical scores in the 36⁃item short form health survey(SF⁃36)were both significantly higher in the PKP group(t=2.187 and 3.013,P=0.032 and 0.003).Conclusion Compared with PVP,PKP can significantly improve vertebral height,restore vertebral morphology and stability,reduce patients’pain,and improve the quality of life of elderly patients with vertebral compression fractures.

关 键 词：经皮椎体成形术 经皮椎体后凸成形术 压缩性骨折 脊柱 老年 

分 类 号：R687.3[医药卫生—骨科学]