椎体成形术治疗老年骨质疏松性脊柱骨折的效果及对脊椎功能、影像学指标及并发症的影响  

Effects of Vertebroplasty in the Treatment of Elderly Osteoporotic Spinal Fractures and Its Impact on Spinal Function,Imaging Indicators and Complications

作　　者：刘彬 王伟群 LIU Bin;WANG Weiqun(Zhongshan Traditional Chinese Medicine Hospital,Guangdong Province,Zhongshan 528403,China;不详)

机构地区：[1]广东省中山市中医院(广州中医药大学附属中山中医院),广东中山528403

出　　处：《中国医学创新》2023年第33期21-24,共4页Medical Innovation of China

基　　金：广东省医学科学技术研究基金项目(B2021397)。

摘　　要：目的:探讨椎体成形术治疗老年骨质疏松性脊柱骨折的效果及对脊椎功能、影像学指标和并发症的影响。方法:选取中山市中医院在2021年12月—2023年1月收治的122例老年骨质疏松性脊柱骨折患者,按照随机数字表法分为观察组(n=61)与对照组(n=61)。对照组实施传统保守治疗,观察组实施椎体成形术。对两组患者的临床疗效、脊柱功能、影像学指标、并发症发生情况和生活质量进行观察和比较。结果:观察组临床总有效率(95.08%)高于对照组(83.61%),差异有统计学意义(P<0.05);治疗后,观察组脊柱功能评分均优于对照组,观察组伤椎后凸角Cobb显著低于对照组,观察组生活质量评分高于对照组,差异均有统计学意义(P<0.05);观察组并发症发生率(6.56%)低于对照组(21.31%),差异有统计学意义(P<0.05)。结论:在老年骨质疏松性椎体骨折患者中实施椎体成形术,可更大程度改善脊柱功能,降低并发症发生率,提升生活质量,提高临床疗效。Objective:To explore the therapeutic effect of vertebroplasty on elderly osteoporotic spinal fractures and its impact on spinal function,imaging indicators and complications.Method:A total of 122 elderly patients with osteoporotic spinal fractures admitted to Zhongshan Traditional Chinese Medicine Hospital from December 2021 to January 2023 were randomly divided into an observation group(n=61)and a control group(n=61)using a random number table method.The control group received traditional conservative treatment,while the observation group received vertebroplasty.The clinical efficacy,spinal function,imaging indicators,incidence of complications and quality of life of two groups of patients were observed and compared.Result:The total clinical effective rate of the observation group(95.08%)was higher than that of the control group(83.61%),with a statistically significant difference(P<0.05);after treatment,the spinal function scores of the observation group were significantly better than those of the control group,the Cobb of the injured vertebral protrusion angle of the observation group was significantly lower than that of the control group,and the quality of life score of the observation group was higher than that of the control group,the differences were statistically significant(P<0.05);the incidence of complications in the observation group(6.56%)was lower than that in the control group(21.31%),with a statistically significant difference(P<0.05).Conclusion:Implementing vertebroplasty in elderly patients with osteoporotic vertebral fractures can greatly improve spinal function,reduce complications,improve quality of life,and improve clinical efficacy.

关 键 词：老年骨质疏松 脊柱骨折 椎体成形术 脊椎功能 影像学指标 

分 类 号：R687.3[医药卫生—骨科学]