老年骨质疏松性胸腰椎压缩性骨折患者经皮椎体成形术的治疗效果分析  

Analysis on the Therapeutic Effect of Percutaneous Vertebroplasty in Pa⁃tients with Senile Osteoporotic Thoracolumbar Compression Fractures

作　　者：陈居铕 王家贤 卓惠勇 张竟文 CHEN Juyou;WANG Jiaxian;ZHUO Huiyong;ZHANG Jingwen(Department of Orthopedics,Fuzhou Changle District People's Hospital,Fuzhou,Fujian,350200,China)

机构地区：[1]福州市长乐区人民医院骨科,福建福州350200

出　　处：《中外医疗》2024年第34期42-44,52,共4页China & Foreign Medical Treatment

摘　　要：目的探究经皮椎体成形术(percutaneous vertebroplasty,PVP)对老年骨质疏松性胸腰椎压缩性骨折(senile osteoporotic thoracolumbar vertebral compression fracture,SOTVCF)患者的临床治疗效果。方法随机选取2020年3月—2023年3月福州市长乐区人民医院骨科收治的70例SOTVCF(胸11至腰5椎)患者为研究对象,根据不同治疗方法分为对照组和研究组,每组35例。研究组采用PVP治疗,对照组采用传统保守治疗。比较两组患者临床治疗有效率、Oswestry功能障碍指数问卷表(Oswestry Dysfunction Index,ODI)评分及椎体高度。结果研究组治疗总有效率为97.14%(34/35),高于对照组的74.29%(26/35),差异有统计学意义(χ^(2)=7.077,P<0.05)。治疗前,两组ODI评分比较,差异无统计学意义(P>0.05);治疗后3 d和5 d,研究组ODI评分均低于对照组,差异均有统计学意义(P均<0.05)。治疗后1个月、3个月、6个月,研究组患椎椎体最低点高度均高于对照组,差异均有统计学意义(P均<0.05)。结论在临床上治疗SOTVCF(胸11至腰5椎)患者时,采用PVP治疗效果好,能有缓解患者的疼痛症状,促进患者快速恢复,保持患椎椎体高度。Objective To explore the clinical effect of percutaneous vertebroplasty on elderly patients with osteopo-rotic thoracolumbar vertebral compression fracture(SOTVCF).Methods A total of 70 elderly patients with SOTVCF(thoracic 11 to lumbar 5 vertebrae)admitted to the Department of Orthopaedics,Fuzhou Changle District People's Hospital of from March 2020 to March 2023 were randomly selected as the research objects.According to different treatment methods,they were divided into control group and study group,with 35 cases in each group.The study group was treated with percutaneous vertebroplasty(PVP),and the control group was treated with traditional conserva-tive treatment.The clinical treatment efficiency,Oswestry Dysfunction Index(ODI)score and vertebral height were compared between the two groups.Results The total effective rate of treatment in the study group was 97.14%(34/35),which was higher than 74.29%(26/35)in the control group,and the difference was statistically significant(χ^(2)=7.077,P<0.05).Before treatment,there was no statistically significant difference in the ODI score between the two groups(P>0.05);at 3 d and 5 d after treatment,the ODI score of the study group was lower than that of the control group,and the differences were statistically significant(both P<0.05).At 1 month,3 months and 6 months after treatment,the height of the lowest point of the diseased vertebral body in the study group was higher than that in the control group,and the differences were statistically significant(all P<0.05).Conclusion In the clinical treatment of patients with SOTVCF(thoracic 11 to lumbar 5 vertebrae),PVP has a good therapeutic effect,which can relieve the pain symptoms of pa-tients,promote the rapid recovery of patients and maintain the height of the vertebral body of the affected vertebra.

关 键 词：经皮椎体成形术 老年骨质疏松性胸腰椎压缩性骨折 临床疗效 

分 类 号：R687.3[医药卫生—骨科学]