经皮椎体成形术在胸腰椎骨折患者中的临床治疗效果  

Clinical Effect of Percutaneous Vertebroplasty in Patients with Thoracolumbar Fracture

作　　者：张兆川 李燕 迮亚男 Zhang Zhaochuan;Li Yan;Ze Yanan(Shandong health group zaozhuang hospital,Zaozhuang,Shandong 277100;Shandong guoxin yiyang group Zaozhuang East suburb hospital)

机构地区：[1]山东健康集团枣庄医院,山东枣庄277100 [2]山东国欣颐养集团枣庄东郊医院

出　　处：《中国伤残医学》2024年第3期39-43,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨胸腰椎骨折患者采用经皮椎体成形术治疗的效果及对手术创伤程度和脊柱功能的临床影响.方法:选取我院2021年5月—2022年5月收治的80例胸腰椎骨折患者为研究对象,采用随机数字表法将其分为对照组和观察组,每组40例.对照组采用切开复位内固定术治疗,观察组采用经皮椎体成形术治疗.对比2组的临床总有效率、生物力学指标、疼痛程度、脊柱功能、骨密度和骨钙素水平.结果:观察组的临床总有效率高于对照组,差异有统计学意义(P<0.05);治疗3个月后,观察组最大抗压强度、刚度均高于对照组,高度低于对照组,组间差异有统计学意义(P<0.05);治疗3 d后,观察组疼痛视觉模拟评分(VAS)低于对照组,差异有统计学意义(P<0.05);治疗3个月后,观察组的Oswestry功能障碍指数(ODI)低于对照组,差异有统计学意义(P<0.05);治疗1周后,观察组骨密度、骨钙素水平均高于对照组,组间差异有统计学意义(P<0.05).结论:胸腰椎骨折患者采用经皮椎体成形术治疗的效果较显著,不仅能有效减轻手术创伤程度,还能改善其生物力学指标和脊柱功能,提高其骨密度和骨钙素水平,临床可进一步推广.Objective:To investigate the effect of percutaneous vertebroplasty on thoracolumbar fracture and its clinical effect on the degree of surgical trauma and spinal function.Methods:Selecting 80 patients with thoracolumbar vertebral fractures admitted to our hospital from May 2021 to May 2022 as the research subjects,they were divided into a control group and an observation group using a random number table method,with 4O cases in each group.The control group was treated with open reduction and internal fixation surgery,while the observation group was treated with percutaneous vertebroplasty.Compare the clinical total effective rate,biomechanical indicators,pain level,spinal function,bone density,and osteocalcin levels between two groups.Results:The total clinical effective rate of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).After 3 months of treatment,the maximum compressive strength and stiffness of the observation group were higher than those of the control group,and the height was lower than that of the control group,the differences between groups were statistically significant(P<0.05).After 3 days of treatment,The Visual Analogue Scale(VAS)of pain in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).After 3 months of treatment,the Oswestry Disability Index(ODI)of the observation group was lower than that of the control group,the difference was statistically significant(P<0.05).After 1 week of treatment,bone density and osteocalcin level in the observation group were higher than those in the control group,the difference was statistically significant(P<0.05).Conclusion:The effect of percutaneous vertebroplasty on thoracolumbar fracture patients is significant,which can not only effectively reduce the degree of surgical trauma,but also improve the biomechanical indexes and spinal function,and increase the level of bone density and osteocalcin,which can be further popularized in

关 键 词：胸腰椎骨折 经皮椎体成形术 手术创伤程度 脊柱功能 

分 类 号：R687.3[医药卫生—骨科学]