PVP与PKP治疗骨质疏松性胸腰椎压缩骨折患者的临床疗效比较  

Comparison of Clinical Efficacy of PVP and PKP in the Treatment of Osteoporotic Thoracolumbar Compression Fracture

作　　者：成意 CHENG Yi(Department of Orthopedics,Yancheng First People's Hospital,Yancheng 224001,China)

机构地区：[1]盐城市第一人民医院骨科,江苏盐城224001

出　　处：《反射疗法与康复医学》2024年第23期107-110,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨经皮椎体后凸成形术(PKP)与经皮椎体成形术(PVP)治疗骨质疏松性胸腰椎压缩骨折患者的临床疗效差异。方法选择2020年1月—2024年1月盐城市第一人民医院收治的100例骨质疏松性胸腰椎压缩骨折患者为研究对象,按随机数字表法将其分为对照组和观察组,各50例。对照组采用PVP治疗,观察组采用PKP治疗。对比两组的手术指标、疼痛程度、椎体功能、影像学参数及骨水泥渗漏情况。结果观察组手术时间长于对照组,术中透视次数多于对照组,骨水泥注入量大于对照组,组间差异有统计学意义(P<0.05)。术后1、3、6个月,两组疼痛视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI)均低于术前,差异有统计学意义(P<0.05),但两组VAS、ODI评分比较,组间差异无统计学意义(P>0.05)。术后6个月,观察组椎体前缘、中部、后缘高度均高于对照组,组间差异有统计学意义(P<0.05)。观察组骨水泥渗漏率为4.00%,低于对照组的16.00%,差异有统计学意义(P<0.05)。结论对骨质疏松性胸腰椎压缩骨折患者采取PVP、PKP治疗均可缓解疼痛并改善椎体功能,PKP术中操作稍显复杂,但能有效恢复伤椎高度,且骨水泥渗漏率更低。Objective To investigate the difference in clinical efficacy between percutaneous kyphoplasty(PKP)and percutaneous vertebroplasty(PVP)in the treatment of osteoporotic thoracolumbar compression fractures.Methods A total of 100 patients with osteoporotic thoracolumbar compression fracture admitted to Yancheng First People's Hospital from January 2020 to January 2024 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 50 cases in each group.The control group was treated with PVP and the observation group was treated with PKP.The surgical indicators,pain degree,vertebral body function,imaging parameters and bone cement leakage situation were compared between the two groups.Results The operation time of the observation group was longer than that of the control group,the intraoperative fluoroscopy times were more than that of the control group,and the bone cement injection amount was greater than that of the control group,the differences between the groups were statistical significance(P<0.05).At 1,3 and 6 months after surgery,the pain Visual Analogue Score(VAS)and Oswestry Disability Index(ODI)of the two groups were lower than those before surgery,the differences were statistical significance(P<0.05),but there was no statistical significance in VAS and ODI scores between the two groups(P>0.05).Six months after operation,the height of anterior,middle and posterior vertebral edges in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).The bone cement leakage rate in the observation group was 4.00%,which was lower than 16.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion Both PVP and PKP can relieve pain and improve vertebral body function in patients with osteoporotic thoracolumbar compression fractures.PKP is slightly complicated during the operation,but it can effectively restore the height of

关 键 词：胸腰椎压缩骨折 骨质疏松 经皮椎体后凸成形术 经皮椎体成形术 伤椎高度 骨水泥渗漏 

分 类 号：R683[医药卫生—骨科学]