经皮椎体成形术治疗骨质疏松性老年椎体压缩性骨折患者的效果分析  

Effect Analysis of Percutaneous Vertebroplasty in the Treatment of Elderly Patients with Osteoporotic Vertebral Compression Fractures

作　　者：徐润洲 李健[2] 潘文明[2] XU Runzhou;LI Jian;PAN Wenming(Medical College of Yangzhou University,Yangzhou 225000,China;Department of Spine Surgery,Second People’s Hospital of Changshu,Suzhou 215000,China)

机构地区：[1]扬州大学医学院,江苏扬州225000 [2]江苏省常熟市第二人民医院脊柱外科,江苏苏州215000

出　　处：《中国伤残医学》2025年第7期33-36,50,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探究骨质疏松性老年椎体压缩性骨折患者应用经皮椎体成形术治疗的效果。方法:回顾性分析2021年1月—2023年8月常熟市第二人民医院收治的90例骨质疏松性老年椎体压缩性骨折患者临床资料,根据治疗方法的不同将其分为对照组与研究组,各45例。对照组采用保守治疗,研究组采用经皮椎体成形术治疗。对比两组疼痛程度、椎体功能、椎体情况、临床疗效。结果:治疗后1周、1、6个月,研究组疼痛视觉模拟法评分、Osewestry功能障碍指数评分均低于对照组,差异均有统计学意义(P<0.05)。治疗后6个月,两组伤椎前缘高度均高于治疗前,且研究组比对照组高,两组Cobb角均小于治疗前,且研究组比对照组小,差异均有统计学意义(P<0.05)。研究组治疗总有效率为97.78%,较对照组的82.22%高,差异有统计学意义(P<0.05)。结论:经皮椎体成形术可有效提高骨质疏松性椎体压缩性骨折老年患者的治疗效果,不仅能够降低患者的疼痛程度,还能改善椎体情况,利于其椎体功能恢复。Objective:To investigate the effect of percutaneous vertebroplasty in the treatment of elderly patients with osteoporotic vertebral compression fracture.Methods:The clinical data of 90 elderly patients with osteoporotic vertebral compression fracture admitted to the Second People’s Hospital of Changshu from January 2021 to August 2023 were retrospectively analyzed.According to different treatment methods,they were divided into a control group and a study group,with 45 cases in each group.The control group received conservative treatment,and the study group received percutaneous vertebroplasty.The pain degree,vertebral function,vertebral condition and clinical efficacy of the two groups were compared.Results:At 1 week,1 and 6 months after treatment,the Visual Analogue Scores and Osewestry Disability Index scores of the study group were lower than those of the control group,the differences were statistically significant(P<0.05).Six months after treatment,the height of anterior vertebrae of injured vertebrae in both groups were higher than before treatment,and the study group was higher than the control group,the Cobb angle in both groups were smaller than before treatment,and the study group was smaller than the control group,with statistical significance(P<0.05).The total effective rate of the study group was 97.78%,which was higher than 82.22%of the control group,the difference was statistically significant(P<0.05).Conclusion:Percutaneous vertebroplasty can effectively improve the treatment effect of elderly patients with osteoporotic vertebral compression fracture,not only reduce the pain degree of patients,but also improve the vertebral condition,which is conducive to the recovery of vertebral function.

关 键 词：骨质疏松性椎体压缩性骨折 老年患者 经皮椎体成形术 疗效 疼痛程度 椎体功能 

分 类 号：R687.3[医药卫生—骨科学]