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作 者:佟长征 TONG Changzheng(Department of Orthopedics,Pizhou Traditional Chinese Medicine Hospital,Pizhou,Jiangsu,221300,China)
出 处:《中外医疗》2024年第36期62-65,共4页China & Foreign Medical Treatment
摘 要:目的探究小剂量骨水泥椎体成形术(percutaneous vertebralplasty,PVP)治疗老年性胸腰椎骨折的效果。方法随机选取2019年1月—2022年12月邳州市中医院收治的老年性胸腰椎骨折120例患者为研究对象,根据骨水泥用量不同分为对照组和观察组,各30例。两组均进行PVP,对照组使用大剂量(>6 mL)骨水泥,观察组使用小剂量(≤6 mL)骨水泥。比较两组手术指标、Cobb角、并发症发生情况、功能障碍指数(Oswestry Disability Index,ODI)评分。结果与对照组比,观察组术中出血量更少,手术时间和住院时间更短,治疗后的Cobb角和ODI评分更低,差异均有统计学意义(P均<0.05)。对于并发症,与对照组的20.00%(12/60)比,观察组的3.33%(2/60)更低,差异有统计学意义(χ^(2)=8.086,P<0.05)。结论治疗老年性胸腰椎骨折时,采用小剂量骨水泥PVP,可以获得比较理想的效果,促进胸腰椎功能改善,降低并发症发生率。Objective To explore the effect of low-dose bone cement percutaneous vertebroplasty(PVP)in the treatment of senile thoracolumbar fractures.Methods A total of 120 elderly patients with thoracolumbar fractures admitted to Pizhou Traditional Chinese Medicine Hospital from January 2019 to December 2022 were randomly selected as the research objects.According to the different amount of bone cement,they were divided into control group and observation group.PVP was performed in both groups.The control group used high-dose(>6 mL)bone cement,and the observation group used low-dose(≤6 mL)bone cement.The surgical indicators,Cobb angle,complications,and Oswestry Disability Index(ODI)scores between the two groups were compared.Results Compared with control group,the intraoperative blood loss in the observation group was less,the operation time and hospitalization time were shorter,the Cobb angle and ODI score after treatment were lower,the differences were statistically significant(all P<0.05).About complications,compared with 20.00%(12/60)in the control group,the 3.33%(2/60)in the observation group was lower,and the difference was statistically significant(χ^(2)=8.086,P<0.05).Conclusion In the treatment of senile thoracolumbar fractures,low-dose bone cement PVP can achieve ideal results,promote the improvement of thoracolumbar function and reduce the incidence of complications.
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