经皮椎体后凸成形术与经皮椎体成形术治疗老年骨质疏松性胸腰椎压缩性骨折患者的效果比较  

Comparison of effects of percutaneous kyphoplasty and percutaneous vertebroplasty in treatment of elderly patients with osteoporotic thoracolumbar vertebral compression fractures

作　　者：裴家森 颜晓松 张成斌 PEI Jiasen;YAN Xiaosong;ZHANG Chengbin(Second Department of Orthopaedics of the People’s Hospital Lichuan City,Lichuan 445400 Hubei,China)

机构地区：[1]利川市人民医院骨二科,湖北利川445400

出　　处：《中国民康医学》2025年第1期154-156,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:比较经皮椎体后凸成形术(PKP)与经皮椎体成形术(PVP)治疗老年骨质疏松性胸腰椎压缩性骨折患者的效果。方法:回顾性分析2022年8月至2023年7月该院收治的90例老年骨质疏松性胸腰椎压缩性骨折患者的临床资料,按不同治疗方法将其分为PKP组与PVP组,每组45例。PVP组采用PVP治疗,PKP组采用PKP治疗,比较两组临床疗效、手术时间、骨水泥注入量、住院时间、手术前后视觉模拟评分法(VAS)评分、Oswestry功能障碍指数(ODI)评分和并发症发生率。结果:PVP组手术时间和住院时间均短于PKP组,骨水泥注入量少于PKP组,差异有统计学意义(P<0.05);PKP组并发症发生率为4.44%,明显低于PVP组的20.00%,差异有统计学意义(P<0.05);两组治疗总有效率比较,差异无统计学意义(P>0.05);术前、术后3、7、14 d,两组VAS、ODI评分比较,差异均无统计学意义(P>0.05)。结论:相较于PVP,PKP治疗老年骨质疏松性胸腰椎压缩性骨折患者可降低并发症发生率,但会延长手术时间和住院时间,增加骨水泥注入量。Objective:To compare effects of percutaneous kyphoplasty(PKP)and percutaneous vertebroplasty(PVP)in treatment of elderly patients with osteoporotic thoracolumbar vertebral compression fractures.Methods:The clinical data of 90 elderly patients with osteoporotic thoracolumbar vertebral compression fractures admitted to this hospital from August 2022 to July 2023 were retrospectively analyzed.According to different treatment methods,they were divided into PKP group and PVP group,45 cases in each group.The PVP group was treated with PVP,while the PKP group was treated with PKP.The clinical efficacy,the operation time,the bone cement injection volume,the hospitalization time,the visual analogue scale(VAS)score,the Oswestry dysfunction index(ODI)score,and the incidence of complications were compared between the two groups.Results:The operation time and the hospitalization time of PVP group were shorter than those of PKP group,the cement injection volume was less than that of PKP group,and the differences were statistically significant(P<0.05).The incidence of complications in the PKP group was 4.44%,which was significantly lower than 20.00%in the PVP group,and the difference was statistically significant(P<0.05).There was no significant difference in the total effective rate between the two groups(P>0.05).There were no significant differences in the VAS and ODI scores between the two groups before and 3,7,14 days after the surgery(P>0.05).Conclusions:Compared with PVP,PKP can reduce the incidence of complications in the elderly patients with osteoporotic thoracolumbar vertebral compression fractures,but it will prolong the operation time and the hospitalization time and increase the bone cement injection volume.

关 键 词：经皮椎体成形术 经皮椎体后凸成形术 骨质疏松性胸腰椎压缩性骨折 并发症发生率 手术时间 住院时间 骨水泥 

分 类 号：R725.6[医药卫生—儿科]