经皮球囊扩张椎体后凸成形术对骨质疏松性椎体压缩性骨折患者椎体高度及腰椎功能恢复的影响  

Effect of percutaneous balloon dilated kyphoplasty on vertebral height and lumbar functional recovery in patients with osteoporotic vertebral compression fracture

作　　者：郑燕辉 徐建生 ZHENG Yanhui;XU Jiansheng(Department of Orthopedics,Guangfeng District People's Hospital,Jiangxi,Shangrao,334600,China)

机构地区：[1]广丰区人民医院骨科,江西上饶334600

出　　处：《当代医学》2024年第34期63-67,共5页Contemporary Medicine

摘　　要：目的探讨经皮球囊扩张椎体后凸成形术(percutaneous kyphoplasty,PKP)在骨质疏松性椎体压缩性骨折(osteoporotic vertebral compression fracture,OCVF)中的应用效果。方法选取2021年3月至2023年1月广丰区人民医院收治的80例OVCF患者作为研究对象,按照随机数字表法分为对照组与观察组,各40例。对照组予以经皮椎体成形术(percutaneous vertebroplasty,PVP)治疗,观察组予以PKP治疗,比较两组手术情况、椎体高度、视觉模拟评分法(visual analogue scale,VAS)评分、Oswsetry功能障碍指数(Oswestry disability index,ODI)评分、日常生活能力[Barthel指数(Barthel index,BI)评分]、日本矫形外科学会(Japanese Orthopaedic Association,JOA)下腰痛评分表评分、生命质量[世界卫生组织生活简易量表(World Health Organization quality of life-BREF,WHOQOL-BREF)评分]及并发症发生率。结果观察组手术时间长于对照组,骨水泥注入量、透视次数均多于对照组,差异有统计学意义(P<0.05);术后6个月,观察组椎体前缘高度、椎体中部高度均高于对照组,差异有统计学意义(P<0.05);术后6个月,观察组ODI评分低于对照组,BI评分高于对照组,差异有统计学意义(P<0.05),两组VAS评分比较差异无统计学意义;术后6个月,观察组主观症状、临床体征、日常活动受限程度评分及总分均高于对照组,差异有统计学意义(P<0.05);术后6个月,观察组生理、心理、社会、环境评分均高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为5.00%,低于对照组的20.00%,差异有统计学意义(P<0.05)。结论PKP治疗OCVF可更好地促进患者椎体高度恢复,增强腰椎功能,有助于改善患者术后生命质量,且并发症少,但该术式手术时间长、透视次数多,临床需根据患者具体情况酌情选择最佳术式。Objective To investigate the application effect of percutaneous balloon dilated kyphoplasty(PKP)in osteoporotic vertebral compression fracture(OCVF).Methods 80 OVCF patients admitted to Guangfeng District People's Hospital from March 2021 to January 2023 were selected as the study subjects,and they were divided into the control group and the observation group according to random number table method,with 40 cases in each group.The control group was treated with percutaneous vertebroplasty(PVP),and the observation group was treated with PKP.The operation conditions,vertebral height,visual analogue scale(VAS)score,Oswsetry disability index(ODI)score,daily living ability(Barthel index[BI]score),Japanese Orthopaedic Association(JOA)low back pain rating score,quality of life(World Health Organization brief scale for life[WHOQOL-BREF]score)and complications were compared between the two groups.Results The operation time in the observation group was longer than that in the control group,and the bone cement injection amount and fluoroscopy times were more than those in the control group,the differences were statistically significant(P<0.05);at 6 months after operation,the anterior vertebral height and middle vertebral height in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05);at 6 months after operation,the ODI score in the observation group was lower than that in the control group,BI score was higher than that in the control group,and the differences were statistically significant(P<0.05),there was no statistically significant difference in VAS score between the two groups;at 6 months after operation,the subjective symptoms,clinical signs,daily activity limitation scores and total score in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05);at 6 months after operation,the postoperative physical,psychological,social and environmental field scores in the observation group were

关 键 词：骨质疏松性椎体压缩性骨折 经皮球囊扩张椎体后凸成形术 椎体高度 腰椎功能 并发症 

分 类 号：R68[医药卫生—骨科学]