经皮椎体成形术与经皮椎体后凸成形术治疗老年胸椎压缩性骨折的临床效果比较  

Comparison of Clinical Efficacy between Percutaneous Vertebroplasty and Percutaneous Kyphoplasty in the Treatment of Thoracic Compression Fractures in Elderly Patients

作　　者：张玉鹏 王政[1] 朱洪欣 Zhang Yupeng;Wang Zheng;Zhu Hongxin(Binzhou Central Hospital,Binzhou 251700,Shandong Province,China)

机构地区：[1]滨州市中心医院,山东滨州251700

出　　处：《中外医药研究》2025年第5期15-17,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:研究经皮椎体成形术(PVP)、经皮椎体后凸成形术(PKP)治疗老年胸椎压缩性骨折的效果。方法:选取2022年9月—2024年8月滨州市中心医院接诊的150例老年胸椎压缩性骨折患者,根据随机数字法分为PVP组、PKP组,各75例。PVP组应用PVP治疗,PKP组应用PKP治疗。比较两组手术情况、胸椎情况、疼痛程度、功能状态、预后不良情况。结果:PVP组术中透视时间、手术时间短于PKP组,骨水泥注入量少于PKP组(P<0.001);术后3个月,两组Cobb角减小,伤椎前缘椎体高度升高,PVP组Cobb角大于PKP组,伤椎前缘椎体高度小于PKP组(P<0.05);术后3个月,两组视觉模拟评分法评分均降低(P<0.001);术后3个月,两组视觉模拟评分法评分比较,差异无统计学意义(P>0.05);术后3个月,两组Oswestry功能障碍指数评分降低,PVP组高于PKP组(P<0.001);PVP组预后不良发生率高于PKP组(P=0.042)。结论:PVP、PKP均可用于治疗老年胸椎压缩性骨折,促进胸椎功能恢复,缓解疼痛。PKP手术时间和骨水泥消耗量较高,但是能提高腰椎功能,改善预后。Objective:To investigate the efficacy of percutaneous vertebroplasty(PVP)and percutaneous kyphoplasty(PKP)in the treatment of thoracic compression fractures in elderly patients.Methods:A total of 150 elderly patients with thoracic compression fractures admitted to Binzhou Central Hospital from September 2022 to August 2024 were selected and randomly divided into PVP and PKP groups,with 75 patients in each group.The PVP group underwent PVP,while the PKP group underwent PKP.Surgical outcomes,thoracic conditions,pain levels,functional status,and adverse prognoses were compared between the two groups.Results:The PVP group had shorter intraoperative fluoroscopy time and operation time,as well as less bone cement injection volume compared to the PKP group(P<0.001).At 3 months postoperatively,both groups showed a reduction in Cobb angle and an increase in anterior vertebral height,with the PVP group had a larger Cobb angle and lower anterior vertebral height than the PKP group(P<0.05).The Visual Analog Scale scores decreased in both groups at 3 months postoperatively(P<0.001),with no significant difference between the groups(P>0.05).The Oswestry Disability Index scores decreased in both groups,but were higher in the PVP group than in the PKP group(P<0.001).The incidence of adverse prognoses was higher in the PVP group than in the PKP group(P=0.042).Conclusion:Both PVP and PKP are effective in treating thoracic compression fractures in elderly patients,promoting thoracic functional recovery and alleviating pain.Although PKP requires longer operation time and more bone cement consumption,it improves lumbar function and prognosis.

关 键 词：老年胸椎压缩性骨折 经皮椎体后凸成形术 经皮椎体成形术 疼痛 

分 类 号：R687.3[医药卫生—骨科学]