小剂量骨水泥椎体成形术在老年性腰椎骨折中的应用效果  

Application Effect of Low-dose Bone Cement Percutaneous Vertebro⁃plasty in Senile Lumbar Fracture

作　　者：祖广军 邵树波 ZU Guangjun;SHAO Shubo(Department of Orthopedics,The Second People's Hospital of Huaiyin District of Huaian,Huaiyin,Jiangsu,223341,China)

机构地区：[1]淮安市淮阴区第二人民医院骨科,江苏淮阴223341

出　　处：《中外医疗》2025年第3期35-38,共4页China & Foreign Medical Treatment

摘　　要：目的 探究老年性腰椎骨折经小剂量骨水泥椎体成形术(percutaneous vertebroplasty, PVP)的治疗效果。方法 方便选取2021年1月—2024年3月淮安市淮阴区第二人民医院收治86例老年性腰椎骨折患者为研究对象,根据不同治疗方法分为两组。对照组(n=43)采取大剂量骨水泥PVP治疗,观察组(n=43)选择小剂量骨水泥PVP治疗。比较两组围手术期指标、疼痛程度、功能障碍评分和并发症发生情况。结果 观察组手术时间、术中出血量和住院时间均优于对照组,差异均有统计学意义(P均<0.05)。术后,观察组疼痛程度评分为(2.13±0.32)分,低于对照组的(3.48±0.39)分,差异有统计学意义(t=17.548,P<0.05)。观察组功能障碍评分为(20.46±2.47)分,低于对照组的(26.81±2.38)分,差异有统计学意义(t=12.140,P<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论 小剂量骨水泥PVP能够显著改善围手术期各项指标,减轻患者的疼痛程度,缓解功能障碍,并发症发生率低。Objective To explore the therapeutic effect of low-dose bone cement percutaneous vertebroplasty(PVP)on senile lumbar fractures.Methods From January 2021 to March 2024,86 elderly patients with lumbar spine frac-tures admitted to the Second People's Hospital of Huaiyin District of Huaian were conveniently selected as the re-search objects.They were divided into two groups according to different treatment methods.The control group(n=43)was treated with high-dose bone cement PVP,and the observation group(n=43)was treated with low-dose bone ce-ment PVP.Perioperative indicators,pain degree,dysfunction score and complications were compared between the two groups.Results The operation time,intraoperative blood loss and hospitalization time of the observation group were better than those of the control group,and the differences were statistically significant(all P<0.05).After surgery,the pain score of the observation group was(2.13±0.32)points,which was lower than that of the control group(3.48±0.39)points,and the difference was statistically significant(t=17.548,P<0.05).The dysfunction score of the observation group was(20.46±2.47)points,which was lower than that of the control group(26.81±2.38)points,and the difference was statistically significant(t=12.140,P<0.05).The total incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Low-dose bone cement PVP can significantly improve the perioperative indicators,reduce the patient's pain,relieve dysfunction,and the incidence of complications is low.

关 键 词：小剂量 骨水泥椎体成形术 老年性腰椎骨折 疼痛程度 功能障碍 并发症 

分 类 号：R687.3[医药卫生—骨科学]