经皮椎体成形术与经皮椎体后凸成形术在老年骨质疏松性椎体压缩骨折患者中的效果分析  

Effect Analysis of Percutaneous Vertebroplasty and Percutaneous Kyphoplasty in Elderly Patients with Osteoporotic Vertebral Compression Fractures

作　　者：殷贵鲲 YIN Guikun(Department of No.2 Orthopedics,Zhuanghe Central Hospital,Dalian 116000,China)

机构地区：[1]辽宁省庄河市中心医院骨外二科,辽宁大连116000

出　　处：《中国伤残医学》2025年第7期5-9,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:研究经皮椎体成形术(PVP)与椎体后凸成形术(PKP)在老年骨质疏松性椎体压缩骨折(OVCF)患者中的应用效果。方法:选取2023年1月—2024年5月庄河市中心医院骨外二科收治的75例OVCF患者为研究对象,按入院先后顺序将其分为PVP组(n=37)及PKP组(n=38),2023年1月—2023年9月先入院的37例纳入PVP组,行PVP治疗,2023年10月—2024年5月后入院的38例纳入PKP组,行PKP治疗。比较两组手术指标、临床疗效、椎体情况、预后质量、并发症发生情况。结果:PKP组术中出血量及骨水泥灌注量均少于PVP组,手术时间短于PVP组,差异均有统计学意义(P<0.05)。PKP组治疗总有效率为97.37%,高于PVP组的81.08%,差异有统计学意义(P<0.05)。术后2个月,两组椎体前缘、后缘高度相较术前均有提升,且PKP组大于PVP组,术后两组Cobb角均缩减,且PKP组小于PVP组,差异均有统计学意义(P<0.05)。术后2个月,两组视觉模拟评分法、Oswestry功能障碍指数量表评分均低于术前,且PKP组均低于PVP组,两组Barthel指数评分均高于术前,且PKP组高于PVP组,差异均有统计学意义(P<0.05)。PKP组并发症发生率为10.53%,低于PVP组的29.73%,差异有统计学意义(P<0.05)。结论:OVCF患者临床采取PKP方案治疗具有创伤小、骨水泥灌注量少等优势,可促进患者椎体功能恢复,帮助其改善生活自理能力,提升生活质量,具有一定的安全性。Objective:To investigate the effects of percutaneous vertebroplasty(PVP)and percutaneous kyphoplasty(PKP)in elderly patients with osteoporotic vertebral compression fractures(OVCF).Methods:A total of 75 patients with OVCF admitted to the Department of Orthopedics No.2 in Zhuanghe Central Hospital from January 2023 to May 2024 were selected as the research objects,and randomly divided into a PVP group(n=37)and a PKP group(n=38)according to the order of admission.A total of 37 patients admitted first from January 2023 to September 2023 were included in PVP group and received PVP treatment,and 38 patients admitted later 3.from October 2023 to May 2024 were included in PKP group and received PKP treatment.The surgical indexes,clinical efficacy,vertebral condition,prognostic quality and the occurrence of complication of the two groups were compared.Results:The amount of blood loss and bone cement perfusion in PKP group was less than those in PVP group,and the operative time was shorter than that in PVP group,with statistical significance(P<0.05).The total effective rate of PKP group was 97.37%,which was higher than 81.08%of PVP group,the difference was statistically significant(P<0.05).Two months after surgery,the height of anterior and posterior vertebral margins in both groups was higher than before surgery,and PKP group was higher than PVP group,Cobb angle decreased in both groups after operation,and PKP group was smaller than PVP group,the differences were statistically significant(P<0.05).Two months after surgery,the scores of Visual Analogue Scale and Oswestry Disability Index scale in both groups were lower than those of before surgery,and the scores of Barthel Index in PKP group were lower than those in PVP group,and the scores of Barthel Index in both groups were higher than those of before surgery,and the scores in PKP group were higher than those in PVP group,with statistical significance(P<0.05).The complication rate of PKP group was 10.53%,which was lower than 29.73%of PVP group,the difference was statist

关 键 词：骨质疏松性椎体压缩骨折 老年 椎体后凸成形术 骨水泥 椎体前后缘高度 COBB角 椎体功能 

分 类 号：R687.3[医药卫生—骨科学]