经皮球囊扩张椎体后凸成形术与经皮椎体成形术治疗老年脊柱骨质疏松性骨折患者的效果比较  

Comparison of effects of percutaneous balloon kyphoplasty and percutaneous vertebroplasty in treatment of elderly patients with spinal osteoporotic fractures

作　　者：林云中 何生 蔡露 LIN Yunzhong;HE Sheng;CAI Lu(Department of Orthopaedics of Nankang District First People’s Hospital,Ganzhou 341000 Jiangxi,China)

机构地区：[1]赣州市南康区第一人民医院骨科,江西赣州341000

出　　处：《中国民康医学》2024年第18期151-153,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:比较经皮球囊扩张椎体后凸成形术(PKP)与经皮椎体成形术(PVP)治疗老年脊柱骨质疏松性骨折患者的效果。方法:选取2021年1月至2023年1月该院收治的76例老年脊柱骨质疏松性骨折患者进行前瞻性研究,按随机数字表法将其分为对照组与研究组各38例。对照组予以PVP治疗,观察组予以PKP治疗。比较两组临床疗效,手术前后疼痛程度[视觉模拟评分法(VAS)]评分、伤椎影像学参数指标(椎体前缘高度、Cobb角)水平、脊柱功能[Oswestry功能障碍指数(ODI)]评分、日常生活能力[Barthel指数(BI)]评分,以及并发症发生率。结果:两组治疗总有效率比较,差异无统计学意义(P>0.05);术后,两组VAS评分均低于术前,但组间比较,差异无统计学意义(P>0.05);两组椎体前缘高度均高于术前,且观察组高于对照组,两组Cobb角均低于术前,且观察组低于对照组,差异有统计学意义(P<0.05);两组ODI评分均低于术前,且观察组低于对照组,两组BI评分均高于术前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:PKP治疗老年脊柱骨质疏松性骨折患者可提高BI评分,改善伤椎影像学参数指标水平,以及降低ODI评分和并发症发生率的效果优于PVP治疗。Objective:To compare effects of percutaneous ballon kyphoplasty(PKP)and percutaneous vertebroplasty(PVP)in treatment of elderly patients with osteoporotic spinal fractures.Methods:A prospective study was conducted on 76 elderly patients with spinal osteoporotic fractures admitted to this hospital from January 2021 to January 2023.According to the random number table method,they were divided into control group and study group,38 cases in each group.The control group was treated with PVP,while the observation group was treated with PKP.The clinical efficacy,the pain degree[visual analogue scale(VAS)]scores,the vertebral imaging parameters(anterior vertebral height,Cobb angle)levels,the spinal function[Oswestry dysfunction index(ODI)]score,the daily living ability[Barthel index(BI)]score before and after the surgery,and the incidence of complications were compared between the two groups.Results:There was no significant difference in the total effective rate between the two groups(P>0.05).After the surgery,the VAS scores of the two groups were lower than those before the surgery,but there was no significant difference between the two groups(P>0.05).After the surgery,the anterior vertebral height levels of the two groups were higher than those before the surgery,and that of the observation group was higher than that of the control group;the Cobb angle levels of the two groups were lower than those before the surgery,and that of the observation group was lower than that of the control group;and the differences were statistically significant(P<0.05).After the surgery,the ODI scores of the two groups were lower than those before the surgery,and that in the observation group was lower than that in the control group;the BI scores of the two groups were higher than those before the surgery,and that in the observation group was higher than that in the control group;and the differences were statistically significant(P<0.05).Further,the incidence of complications in the observation group was lower than that in the control grou

关 键 词：脊柱骨质疏松性骨折 老年 经皮椎体成形术 经皮球囊扩张椎体后凸成形术 疼痛程度 脊柱功能 

分 类 号：R683.2[医药卫生—骨科学]