分阶段中西医综合治疗对骨质疏松性胸腰椎压缩性骨折椎体后凸成形术术后再骨折的影响  

Effect of Staged Comprehensive Chinese and Western Medicine Treatment on the Re-fracture after Percutaneous Kyphoplasty for Osteoporotic Thoracolumbar Compression Fracture

作　　者：钟伟立 朱一文 招仕富 王晓丽 ZHONG Weili;ZHU Yiwen;ZHAO Shifu;WANG Xiaoli(Department of Orthopedics and Traumatology,Zhanjiang Second Hospital of Traditional Chinese Medicine,Zhanjiang,Guangdong Province,524000 China)

机构地区：[1]湛江市第二中医医院骨伤科,广东湛江524000

出　　处：《世界复合医学》2024年第3期124-127,共4页World Journal of Complex Medicine

基　　金：湛江市非资助科技攻关专题(2022B01138)。

摘　　要：目的探究分阶段中西医综合治疗对骨质疏松性胸腰椎压缩性骨折经皮球囊扩张椎体后凸成形术术后再骨折的影响。方法随机选取2022年8月—2023年12月湛江市第二中医医院收治的60例骨质疏松性胸腰椎压缩性骨折患者为研究对象,所有患者均接受经皮椎体后凸成形术,根据术后不同治疗方式将患者分成对照组(n=30,使用唑来膦酸钠治疗)和观察组(n=30,实施分阶段中西医综合治疗)。对比两组术后椎体再骨折发生率、骨密度、胸腰椎活动度。结果观察组椎体再骨折发生率为3.33%,低于对照组的26.67%,差异有统计学意义(χ^(2)=6.405,P<0.05)。治疗前,两组骨密度、Cobb角,椎体间活动范围对比,差异无统计学意义(P均>0.05);治疗后,两组骨密度、椎体间活动范围均提升,Cobb角减小,且观察组优于对照组,差异有统计学意义(P均<0.05)。结论将分阶段中西医综合治疗应用于骨质疏松性胸腰椎压缩性骨折精经皮球囊扩张椎体后凸成形术术后患者的治疗中,能有效提升骨密度,降低术后再骨折发生率,改善胸腰椎活动度。Objective To investigate the effect of staged comprehensive Chinese and Western medicine treatment on the incidence of postoperative re-fracture after percutaneous balloon dilatation vertebral kyphoplasty for osteoporotic thoracolumbar compression fracture.Methods A total of 60 patients with osteoporotic thoracolumbar compression fractures admitted to Zhanjiang Second Hospital of Traditional Chinese Medicine from August 2022 to December 2023 were randomly selected as the study objects.They were divided into the control group(n=30,using zoledronate)and the observation group(n=30,implementing staged comprehensive Chinese and Western medicine treatment),according to different treatment modalities.The incidence of postoperative vertebral re-fracture,bone mineral density,and thoracolumbar spine mobility were compared between the two groups.Results The incidence of vertebral refracture in the observation group was 3.33%,which was lower than 26.67%in the control group,and the difference was statistically significant(χ^(2)=6.405,P<0.05).Before treatment,bone density,Cobb angle,and intervertebral range of motion have no statistically significant difference between the two groups(all P>0.05).After treatment,bone density,intervertebral range of motion improved and Cobb angle decreased in both groups,and the observation group were better than those of the control group,and the differences were statistically significant(all P<0.05).Conclusion The staged comprehensive Chinese and Western medicine treatment in the treatment of osteoporotic thoracolumbar compression fracture by percutaneous balloon dilatation vertetral kyphoplasty postoperative patients can effectively enhance bone density,reduce the incidence of postoperative re-fracture,and improve the thoracolumbar spine mobility.

关 键 词：分阶段中西医综合治疗 骨质疏松性胸腰椎压缩性骨折 再骨折发生率 胸腰椎活动度 COBB角 

分 类 号：R4[医药卫生—临床医学]